Individual provider · Type 1 NPI

Mark Aaron Jackson

Counselor · Provo, UT

NPI number 1699088252 Active

Practice location

619 N 500 W
Provo, UT 84601-1547

Call (801) 375-4240 Map

Fax (801) 375-4241

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1699088252

Mark Aaron Jackson's National Provider Identifier is 1699088252, issued on Jul 23, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Provo, UT. The record was last updated on Jul 23, 2010.