Individual provider · Type 1 NPI

Shirley A. Jackson, LICSW

Mental Health Counselor · West Roxbury, MA

NPI number 1407947484 Active

Practice location

1400 Vfw Pkwy
West Roxbury, MA 02132-4927

Call (617) 323-7700 Map

Fax (857) 203-5553

Mailing address

528 Plymouth St
Middleboro, MA 02346-2531

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1016612 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1407947484

Shirley A. Jackson, LICSW's National Provider Identifier is 1407947484, issued on Sep 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Roxbury, MA. The record was last updated on Jul 8, 2007.