Individual provider · Type 1 NPI

Jonnie R. Jackson

Pastoral Counselor · East Stroudsburg, PA

NPI number 1225550502 Active

Practice location

141 Runnymede Dr
East Stroudsburg, PA 18301-6958

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor Primary 101YP1600XNone listed

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About NPI 1225550502

Jonnie R. Jackson's National Provider Identifier is 1225550502, issued on Jul 8, 2017. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in East Stroudsburg, PA. The record was last updated on Jul 21, 2022.