Individual provider · Type 1 NPI

Elaine Jackson, LCPC

Mental Health Counselor · Philadelphia, PA

NPI number 1700338142 Active

Practice location

325 Cherry St
Philadelphia, PA 19106-2061

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLGPC00898 (DC)
Mental Health Counselor 101YM0800X0701010327 (VA)
Mental Health Counselor 101YM0800XLGP7431 (MD)
Mental Health Counselor Primary 101YM0800XLC9062 (MD)

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About NPI 1700338142

Elaine Jackson, LCPC's National Provider Identifier is 1700338142, issued on Nov 2, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 10, 2023.