Individual provider · Type 1 NPI

Jamie Jackson, BEYOND HS

Counselor · Pawtucket, RI

NPI number 1750679791 Active

Practice location

101 Bacon St
Pawtucket, RI 02860-5542

Call (401) 724-8400 Map

Fax (401) 722-5039

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 1750679791

Jamie Jackson, BEYOND HS's National Provider Identifier is 1750679791, issued on Jul 12, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pawtucket, RI. The record was last updated on Jul 12, 2011.