Individual provider · Type 1 NPI
Cassie Thacker Jackson, MASTER OF EDUCATION
Professional Counselor · Fairbanks, AK
NPI number
1376261602
Active
Practice location
4987 Murphy Dome Rd
Fairbanks, AK 99709-5974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1376261602
Cassie Thacker Jackson, MASTER OF EDUCATION's National Provider Identifier is 1376261602, issued on Aug 22, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairbanks, AK. The record was last updated on Mar 4, 2026.