Individual provider · Type 1 NPI

Vicki Jackson

Mental Health Counselor · Homer, AK

NPI number 1083076772 Active

Practice location

4136 Bartlett St
Homer, AK 99603-7001

Mailing address

818 Smoky Bay Way # 140
Homer, AK 99603-7653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083076772

Vicki Jackson's National Provider Identifier is 1083076772, issued on Mar 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Homer, AK. The record was last updated on Oct 22, 2021.