MR. Richard Allen Jackson, LICSW
NPI #1629520770 in Brainerd, Minnesota
Provider Information
- NPI Number
- 1629520770
- Entity Type
- Individual
- Name
- MR. Richard Allen Jackson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Oct 25, 2016
- Last Updated
- Apr 12, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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