Individual provider · Type 1 NPI

Ebone Jackson

Mental Health Counselor · Harrisburg, PA

NPI number 1740985209 Active

Practice location

4755 Linglestown Rd Ste 206
Harrisburg, PA 17112-8547

Call (717) 400-1871 Map

Fax (717) 814-5260

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XSW139545 (PA)

Mental Health Counselor: Definition to come...

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About NPI 1740985209

Ebone Jackson's National Provider Identifier is 1740985209, issued on Apr 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Harrisburg, PA. The record was last updated on Apr 4, 2023.