Individual provider · Type 1 NPI

Angela Renee Jackson

Mental Health Counselor · Greenwood, MS

NPI number 1629962303 Active

Practice location

2504 Browning Road 520
Greenwood, MS 38930-6022

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1629962303

Angela Renee Jackson's National Provider Identifier is 1629962303, issued on Jun 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenwood, MS. The record was last updated on Jun 5, 2025.