Individual provider · Type 1 NPI

Richard Brendan Jackson, LPC, LMAC-T

Mental Health Counselor · Shawnee, KS

NPI number 1912500554 Active

Practice location

6221 Richards Dr
Shawnee, KS 66216-1724

Call (913) 248-1943 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X00906-T (KS)
Mental Health Counselor Primary 101YM0800X03696 (KS)

Mental Health Counselor: Definition to come...

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About NPI 1912500554

Richard Brendan Jackson, LPC, LMAC-T's National Provider Identifier is 1912500554, issued on Nov 17, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shawnee, KS. The record was last updated on Nov 17, 2020.