Individual provider · Type 1 NPI
Anthony Jerome Jackson, M.DIV., M.A., D.MIN.
Mental Health Counselor · Elkins Park, PA
NPI number
1922410448
Active
Practice location
1826 Chelsea Rd
Elkins Park, PA 19027-1056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Mental Health Counselor | 101YM0800X | 101YM0800X |
Mental Health Counselor: Definition to come...
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About NPI 1922410448
Anthony Jerome Jackson, M.DIV., M.A., D.MIN.'s National Provider Identifier is 1922410448, issued on Jun 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elkins Park, PA. The record was last updated on Jun 2, 2014.