Individual provider · Type 1 NPI

Jessica L. Jackson

Mental Health Counselor · Moulton, AL

NPI number 1518155431 Active

Practice location

317 Hospital St
Moulton, AL 35650-1269

Mailing address

1316 Somerville Rd SE, Suite 1
Decatur, AL 35601-4305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1518155431

Jessica L. Jackson's National Provider Identifier is 1518155431, issued on Oct 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moulton, AL. The record was last updated on Oct 4, 2007.