MR. Brian M. Jackson, L.P.C.

NPI #1275048167 in Coburg, Oregon

Provider Information

NPI Number
1275048167
Entity Type
Individual
Name
MR. Brian M. Jackson, L.P.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
L.P.C.
Enumeration Date
Dec 13, 2017
Last Updated
Apr 8, 2021

Practice Location

Address
91150 COBURG INDUSTRIAL WAY SERENITY LANE
City
Coburg
State
Oregon
ZIP Code
97408
Phone
(541) 687-1110

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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