Jacqueline R Jackson

NPI #1417733163 in Montgomery, Alabama

Provider Information

NPI Number
1417733163
Entity Type
Individual
Name
Jacqueline R Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Counseling
Enumeration Date
Sep 7, 2023
Last Updated
Sep 7, 2023

Practice Location

Address
3100 LEBRON RD
Address 2
3100 LEBRON RD
State
Alabama
ZIP Code
36106
Phone
(334) 235-2274

Specialties & Taxonomy Codes

Specialty
Psychologist - CounselingCounseling

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