Individual provider · Type 1 NPI

Dominique Jackson

Marriage & Family Therapist · Lakeville, MN

NPI number 1376384065 Active

Practice location

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821

Call (952) 214-8959 Map

Mailing address

1032 Stone Creek Dr
Jordan, MN 55352-4577

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1376384065

Dominique Jackson's National Provider Identifier is 1376384065, issued on Jun 5, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Lakeville, MN. The record was last updated on Jun 5, 2024.