Individual provider · Type 1 NPI

Miranda M. Jackson

Mental Health Counselor · Pullman, WA

NPI number 1295575280 Active

Practice location

340 NE Maple St
Pullman, WA 99163-4120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295575280

Miranda M. Jackson's National Provider Identifier is 1295575280, issued on May 28, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pullman, WA. The record was last updated on Jul 3, 2024.