Individual provider · Type 1 NPI
Doreen J. Jackson, LMHC
Mental Health Counselor · Brockton, MA
NPI number
1235229063
Active
Practice location
40 Almon Ave
Brockton, MA 02301-4515
Fax (508) 580-1668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 3183 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1235229063
Doreen J. Jackson, LMHC's National Provider Identifier is 1235229063, issued on Oct 13, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Jul 8, 2007.