Individual provider · Type 1 NPI

Marguerite Jackson, M.ED, BCPC

Mental Health Counselor · Philadelphia, PA

NPI number 1053733782 Active

Practice location

7556 Woodcrest Ave
Philadelphia, PA 19151-2704

Call (215) 400-1551 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Health Service Psychologist 103TH0100XNone listed

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About NPI 1053733782

Marguerite Jackson, M.ED, BCPC's National Provider Identifier is 1053733782, issued on Jan 15, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 22, 2017.