David W Jackson, LPCC
NPI #1427280668 in Clovis, New Mexico
Provider Information
- NPI Number
- 1427280668
- Entity Type
- Individual
- Name
- David W Jackson, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCC
- Enumeration Date
- Aug 21, 2009
- Last Updated
- Aug 21, 2009
Practice Location
- Address
- 919 RENCHER ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-5858
- Phone
- (575) 769-2142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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