DR. Jacob Jerry Jackson, PHD, LMHC, CADC

NPI #1003366329 in Le Mars, Iowa

Provider Information

NPI Number: 1003366329
Entity Type: Individual
Name: DR. Jacob Jerry Jackson, PHD, LMHC, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: PHD, LMHC, CADC
Enumeration Date: Oct 11, 2016
Last Updated: Nov 6, 2023

Practice Location

Address: 180 10TH ST SE STE 201
City: Le Mars
State: Iowa
ZIP Code: 51031-2557
Phone: (712) 546-4624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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