Individual provider · Type 1 NPI
Michael Jackson, M.A., N.C.C
Mental Health Counselor · Newark, DE
NPI number
1639625833
Active
Practice location
128 Mute Swan Place
Newark, DE 19711
Mailing address
2415 E Eric Dr
Wilmington, DE 19808-4206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | AC-0000107 (DE) |
Mental Health Counselor: Definition to come...
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About NPI 1639625833
Michael Jackson, M.A., N.C.C's National Provider Identifier is 1639625833, issued on Aug 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newark, DE. The record was last updated on Aug 28, 2016.