Katherine Jackson

NPI #1003295809 in Goodyear, Arizona

Provider Information

NPI Number: 1003295809
Entity Type: Individual
Name: Katherine Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 26, 2015
Last Updated: Jul 11, 2024

Practice Location

Address: 17427 W WANDERING CREEK RD
City: Goodyear
State: Arizona
ZIP Code: 85338-5735
Phone: (253) 208-0756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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