Selena Jackson

NPI #1053917567 in Ketchikan, Alaska

Provider Information

NPI Number
1053917567
Entity Type
Individual
Name
Selena Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Dec 9, 2020
Last Updated
Feb 9, 2021

Practice Location

Address
2434 FOURTH AVE
State
Alaska
ZIP Code
99901-5820
Phone
(907) 225-7825

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Community Health Worker

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