Individual provider · Type 1 NPI
Sheryl D. Jackson, MS
Mental Health Counselor · Fort Wayne, IN
NPI number
1881020501
Active
Practice location
909 E State Blvd
Fort Wayne, IN 46805-3404
Fax (260) 481-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1881020501
Sheryl D. Jackson, MS's National Provider Identifier is 1881020501, issued on Sep 26, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 26, 2013.