Individual provider · Type 1 NPI

Anthony Lloyd Jackson

Mental Health Counselor · Eugene, OR

NPI number 1962649996 Active

Practice location

1720 W 25th Ave
Eugene, OR 97405-1663

Call (541) 343-9706 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1962649996

Anthony Lloyd Jackson's National Provider Identifier is 1962649996, issued on Jan 13, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jan 13, 2009.