Individual provider · Type 1 NPI
Takira C. Jackson, LAC
Counselor · Phoenix, AZ
NPI number
1720709140
Active
Practice location
14413 S 47th Pl
Phoenix, AZ 85044-6215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LAC-21216 (AZ) |
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 1720709140
Takira C. Jackson, LAC's National Provider Identifier is 1720709140, issued on Sep 5, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 5, 2022.