Individual provider · Type 1 NPI

Michael Scott Jackson

Mental Health Counselor · White City, OR

NPI number 1962647107 Active

Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011

Mailing address

415 Placer St
Rogue River, OR 97537-9516

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962647107

Michael Scott Jackson's National Provider Identifier is 1962647107, issued on Dec 2, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in White City, OR. The record was last updated on Oct 9, 2024.