Individual provider · Type 1 NPI
Deja Jackson
Professional Counselor · Olathe, KS
NPI number
1891149233
Active
Practice location
1715 E. Cedar Suite 115
Olathe, KS 66062
Mailing address
941 E 21st Ter
Lawrence, KS 66046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2853 (KS) |
Professional Counselor: Definition to come...
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About NPI 1891149233
Deja Jackson's National Provider Identifier is 1891149233, issued on Apr 22, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Olathe, KS. The record was last updated on Apr 22, 2016.