James M Jackson, COUNSELOR 3
NPI #1003540360 in Charleston, West Virginia
Provider Information
- NPI Number
- 1003540360
- Entity Type
- Individual
- Name
- James M Jackson, COUNSELOR 3
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- COUNSELOR 3
- Enumeration Date
- Jul 13, 2022
- Last Updated
- Jul 13, 2022
Practice Location
- Address
- 2157 GREENBRIER ST
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25311-9623
- Phone
- (304) 344-5924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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