Individual provider · Type 1 NPI

Jan Meredith Jackson, M.A.

Mental Health Counselor · Pawtucket, RI

NPI number 1790284792 Active

Practice location

160 Beechwood Ave
Pawtucket, RI 02860-5402

Mailing address

249 Roosevelt Ave Unit 205
Pawtucket, RI 02860-2134

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790284792

Jan Meredith Jackson, M.A.'s National Provider Identifier is 1790284792, issued on Feb 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pawtucket, RI. The record was last updated on Feb 5, 2018.