Individual provider · Type 1 NPI
Miracle Jackson, LMSW
Mental Health Counselor · Washington, PA
NPI number
1184413288
Active
Practice location
378 W Chestnut St Ste 205
Washington, PA 15301-4661
Fax (724) 225-6811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1184413288
Miracle Jackson, LMSW's National Provider Identifier is 1184413288, issued on May 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Washington, PA. The record was last updated on May 5, 2025.