DR. Ruby J Jackson, DPC, LPC-S, NCC
NPI #1487162608 in Brandon, Mississippi
Provider Information
- NPI Number
- 1487162608
- Entity Type
- Individual
- Name
- DR. Ruby J Jackson, DPC, LPC-S, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- DPC, LPC-S, NCC
- Enumeration Date
- Jan 22, 2018
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 302 AZALEA CT
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-7952
- Phone
- (601) 201-4134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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