Individual provider · Type 1 NPI
Paul Jackman, MA, AMFT
Mental Health Counselor · Hurricane, UT
NPI number
1093227209
Active
Practice location
2994 S Gould Wash Rd
Hurricane, UT 84737
Mailing address
1500 E 2700 S
Hurricane, UT 84737-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 10100228-3904 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1093227209
Paul Jackman, MA, AMFT's National Provider Identifier is 1093227209, issued on Oct 27, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hurricane, UT. The record was last updated on Oct 27, 2017.