Catherine Jackson
NPI #1740876077 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1740876077
- Entity Type
- Individual
- Name
- Catherine Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 21, 2020
- Last Updated
- Dec 21, 2020
Practice Location
- Address
- 418 NEW GOFF MOUNTAIN RD STE 201
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1488
- Phone
- (304) 755-9411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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