Individual provider · Type 1 NPI
Shelley Ann Jackson, PhD, LCMHC
Mental Health Counselor · St. Albans, VT
NPI number
1679098347
Active
Practice location
228 Hathaway Pt. Rd.
St. Albans, VT 05478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1679098347 (VT) |
| Professional Counselor | 101YP2500X | 15616 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1679098347
Shelley Ann Jackson, PhD, LCMHC's National Provider Identifier is 1679098347, issued on Aug 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Albans, VT. The record was last updated on Oct 23, 2023.