Individual provider · Type 1 NPI
Amy Jackson, MED COUNSELING
School Counselor · South Lake Tahoe, CA
NPI number
1609692631
Active
Practice location
1100 Lyons Ave
South Lake Tahoe, CA 96150-8252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor Primary | 101YS0200X | None listed |
School Counselor: Definition to come...
Another provider at this address
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About NPI 1609692631
Amy Jackson, MED COUNSELING's National Provider Identifier is 1609692631, issued on Nov 25, 2024. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Nov 25, 2024.