Individual provider · Type 1 NPI

Larry V. Jackson Jr., LMHC

Mental Health Counselor · Des Moines, IA

NPI number 1093169062 Active

Practice location

1111 University Ave
Des Moines, IA 50314-2329

Mailing address

121 E Lane St Trlr 2
Winterset, IA 50273-1772

Other practice locations

  • 1420 Central Ave, Dubuque, IA 52001-4842 · (563) 451-2005

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001738 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1093169062

Larry V. Jackson Jr., LMHC's National Provider Identifier is 1093169062, issued on Apr 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Des Moines, IA. The record was last updated on Dec 28, 2023.