Individual provider · Type 1 NPI

Nicole Pearl Jackson, PLPC

Mental Health Counselor · Cape Girardeau, MO

NPI number 1215794540 Active

Practice location

402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536

Fax (573) 651-4345

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2024007661 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1215794540

Nicole Pearl Jackson, PLPC's National Provider Identifier is 1215794540, issued on Mar 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cape Girardeau, MO. The record was last updated on Sep 3, 2024.