Individual provider · Type 1 NPI

Lisa Kathryn Jackson, LPCC

Professional Counselor · Albuquerque, NM

NPI number 1063548709 Active

Practice location

3025 Florida St NE
Albuquerque, NM 87110-2614

Call (505) 417-6744 Map

Mailing address

4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0124141 (NM)

Professional Counselor: Definition to come...

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About NPI 1063548709

Lisa Kathryn Jackson, LPCC's National Provider Identifier is 1063548709, issued on Feb 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 21, 2021.