Individual provider · Type 1 NPI
Kellie Jackson
Mental Health Counselor · Audubon, PA
NPI number
1447911565
Active
Practice location
837 Mourning Dove Rd
Audubon, PA 19403-1820
Mailing address
846 W Lancaster Ave
Bryn Mawr, PA 19010-3224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Audubon
About NPI 1447911565
Kellie Jackson's National Provider Identifier is 1447911565, issued on Jan 2, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Audubon, PA. The record was last updated on Jan 2, 2022.