Individual provider · Type 1 NPI

Melodie Isma Jackson

Counselor · Philadelphia, PA

NPI number 1295028645 Active

Practice location

1401 S 4th St
Philadelphia, PA 19147-5948

Call (215) 339-1070 Map

Fax (215) 339-1080

Mailing address

432 N 6th St
Philadelphia, PA 19123-4004

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1295028645

Melodie Isma Jackson's National Provider Identifier is 1295028645, issued on May 18, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 18, 2011.