Individual provider · Type 1 NPI

Lisa Jackson, LSW

Mental Health Counselor · Coal Grove, OH

NPI number 1265603500 Active

About NPI 1265603500

Lisa Jackson, LSW's National Provider Identifier is 1265603500, issued on Mar 14, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coal Grove, OH. The record was last updated on Mar 14, 2008.