Theresa Jackson
NPI #1063832509 in Forestdale, Massachusetts
Provider Information
- NPI Number
- 1063832509
- Entity Type
- Individual
- Name
- Theresa Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Apr 23, 2014
- Last Updated
- Apr 23, 2014
Practice Location
- Address
- 18 J BRADEN THOMPSON RD
- City
- Forestdale
- State
- Massachusetts
- ZIP Code
- 02644-1555
- Phone
- (508) 681-8257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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