MS. Pamela L. Jackson, LCPC
NPI #1518141704 in Westover, West Virginia
Provider Information
- NPI Number
- 1518141704
- Entity Type
- Individual
- Name
- MS. Pamela L. Jackson, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Dec 24, 2007
- Last Updated
- Jul 24, 2008
Practice Location
- Address
- 190 MARCHAND DR
- Address 2
- APARTMENT 1
- City
- Westover
- State
- West Virginia
- ZIP Code
- 26501-3895
- Phone
- (443) 869-0072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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