Individual provider · Type 1 NPI

Leah Faith Jackson, PLPC

Counselor · Poplar Bluff, MO

NPI number 1730042300 Active

Practice location

686 Lester St
Poplar Bluff, MO 63901-5025

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 1730042300

Leah Faith Jackson, PLPC's National Provider Identifier is 1730042300, issued on Dec 9, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Dec 9, 2025.