Individual provider · Type 1 NPI
Harry Lee Jackson
Mental Health Counselor · Victorville, CA
NPI number
1710467659
Active
Practice location
17845 Ironwood Lane
Victorville, CA 92395-9239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1710467659
Harry Lee Jackson's National Provider Identifier is 1710467659, issued on Aug 20, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Victorville, CA. The record was last updated on Aug 20, 2018.