MS. Beverly Jackson, LCPC

NPI #1720008444 in Missoula, Montana

Provider Information

NPI Number
1720008444
Entity Type
Individual
Name
MS. Beverly Jackson, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCPC
Enumeration Date
Jul 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
210 N HIGGINS AVE
Address 2
316
State
Montana
ZIP Code
59802-4462
Phone
(406) 542-1313

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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