Individual provider · Type 1 NPI

Martina S. Jackson, LMSW

Mental Health Counselor · Norwich, CT

NPI number 1326578501 Active

Practice location

331 Main St
Norwich, CT 06360-5836

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1326578501

Martina S. Jackson, LMSW's National Provider Identifier is 1326578501, issued on Jun 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Norwich, CT. The record was last updated on Jun 19, 2017.