Individual provider · Type 1 NPI

Dillon S. Jackson

Mental Health Counselor · Roseburg, OR

NPI number 1982412276 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1982412276

Dillon S. Jackson's National Provider Identifier is 1982412276, issued on Dec 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Dec 19, 2024.