Individual provider · Type 1 NPI
Katelan Jackson, LMHC
Mental Health Counselor · Sandwich, MA
NPI number
1144668807
Active
Practice location
68 Tupper Rd Unit 10
Sandwich, MA 02563-1872
Mailing address
12 Pin Oak Dr
East Sandwich, MA 02537-1313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 10578 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1144668807
Katelan Jackson, LMHC's National Provider Identifier is 1144668807, issued on Jun 4, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sandwich, MA. The record was last updated on Jun 27, 2024.