Individual provider · Type 1 NPI

Beverly Jackson, LCPC

Mental Health Counselor · Missoula, MT

NPI number 1720008444 Active

Practice location

210 N Higgins Ave, 316
Missoula, MT 59802-4462

Call (406) 542-1313 Map

Mailing address

1440 Mountain View Dr
Missoula, MT 59802-3358

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X625 (MT)

Mental Health Counselor: Definition to come...

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About NPI 1720008444

Beverly Jackson, LCPC's National Provider Identifier is 1720008444, issued on Jul 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Missoula, MT. The record was last updated on Jul 8, 2007.