Individual provider · Type 1 NPI

Anna Jackson

Professional Counselor · Philadelphia, PA

NPI number 1891342804 Active

Practice location

112 N Broad St
Philadelphia, PA 19102-1512

Call (215) 568-0860 Map

Mailing address

519 E Harris St
Savannah, GA 31401-4621

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPC014016 (GA)
Professional Counselor Primary 101YP2500XPC011832 (PA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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About NPI 1891342804

Anna Jackson's National Provider Identifier is 1891342804, issued on Aug 23, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 12, 2024.