MR. Rickie Frederick Jackson, M.S. ED., LPC, CADC

NPI #1649583279 in Butler, Pennsylvania

Provider Information

NPI Number: 1649583279
Entity Type: Individual
Name: MR. Rickie Frederick Jackson, M.S. ED., LPC, CADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: M.S. ED., LPC, CADC
Enumeration Date: Jul 24, 2010
Last Updated: May 3, 2017

Practice Location

Address: 349 N MCKEAN ST
City: Butler
State: Pennsylvania
ZIP Code: 16001-4928
Phone: (412) 366-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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