Lisa Kathryn Jackson, LPCC
NPI #1063548709 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1063548709
- Entity Type
- Individual
- Name
- Lisa Kathryn Jackson, LPCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jan 21, 2021
Practice Location
- Address
- 3025 FLORIDA ST NE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87110-2614
- Phone
- (505) 417-6744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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