Individual provider · Type 1 NPI

Nicole Shelie Jackson, M.S.

Mental Health Counselor · Columbus, GA

NPI number 1972712446 Active

Practice location

2100 Comer Ave
Columbus, GA 31904-8725

Mailing address

317 14th Ave
Phenix City, AL 36869-6951

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972712446

Nicole Shelie Jackson, M.S.'s National Provider Identifier is 1972712446, issued on May 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, GA. The record was last updated on Jul 8, 2007.