Individual provider · Type 1 NPI

Lyndell Jackson, LCPC

Mental Health Counselor · Caldwell, ID

NPI number 1073654034 Active

Practice location

2020 Blaine St
Caldwell, ID 83605-4343

Call (208) 880-6127 Map

Fax (208) 455-6244

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC234 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1073654034

Lyndell Jackson, LCPC's National Provider Identifier is 1073654034, issued on Feb 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Caldwell, ID. The record was last updated on Jul 9, 2007.