Individual provider · Type 1 NPI
Kimberly Jackson
Mental Health Counselor · Wilmington, DE
NPI number
1275934887
Active
Practice location
213 Barrett St
Wilmington, DE 19802-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | Q1-0001275 (DE) |
Mental Health Counselor: Definition to come...
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About NPI 1275934887
Kimberly Jackson's National Provider Identifier is 1275934887, issued on Sep 15, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, DE. The record was last updated on Sep 15, 2014.