Individual provider · Type 1 NPI

Regina Jackson

Mental Health Counselor · New Albany, IN

NPI number 1811528565 Active

Practice location

3103 Blackiston Mill Rd
New Albany, IN 47150-9536

Call (812) 590-7160 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X88001003A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1811528565

Regina Jackson's National Provider Identifier is 1811528565, issued on Jan 31, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Albany, IN. The record was last updated on Nov 27, 2023.