Individual provider · Type 1 NPI

Jennifer Jo-Jividen Jackson, LIMHP, LMHP, LPC

Mental Health Counselor · South Sioux City, NE

NPI number 1194055087 Active

Practice location

1201 Arbor Drive
South Sioux City, NE 68776-6877

Call (402) 494-3337 Map

Fax (402) 494-3356

Mailing address

PO Box 355
South Sioux City, NE 68776-0355

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X8988 (NE)
Mental Health Counselor 101YM0800X3842 (NE)
Professional Counselor 101YP2500X1904 (NE)
Mental Health Counselor Primary 101YM0800X919 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1194055087

Jennifer Jo-Jividen Jackson, LIMHP, LMHP, LPC's National Provider Identifier is 1194055087, issued on Dec 28, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Sioux City, NE. The record was last updated on Mar 16, 2023.