MR. Holli Vern Jackson, MSW

NPI #1699100511 in Bethel, Alaska

Provider Information

NPI Number: 1699100511
Entity Type: Individual
Name: MR. Holli Vern Jackson, MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW
Enumeration Date: Sep 10, 2013
Last Updated: Nov 20, 2019

Practice Location

Address: 829 CHIEF EDDIE HOFFMAN HWY
City: Bethel
State: Alaska
ZIP Code: 99559
Phone: (907) 543-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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