Individual provider · Type 1 NPI
Amanda Jackson
Mental Health Counselor · Derby, KS
NPI number
1023680394
Active
Practice location
3406 Laughlin St
Derby, KS 67037-2309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1023680394
Amanda Jackson's National Provider Identifier is 1023680394, issued on Jul 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Derby, KS. The record was last updated on Jul 15, 2021.