Individual provider · Type 1 NPI

Steve R. Jackson, MA

Mental Health Counselor · Portland, OR

NPI number 1023145265 Active

Practice location

1818 SE Division St
Portland, OR 97202-1159

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023145265

Steve R. Jackson, MA's National Provider Identifier is 1023145265, issued on Feb 27, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.