Mary Jackson, LPC-22257

NPI #1881374684 in Payson, Arizona

Provider Information

NPI Number
1881374684
Entity Type
Individual
Name
Mary Jackson, LPC-22257
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC-22257
Enumeration Date
Jul 18, 2023
Last Updated
Jul 18, 2023

Practice Location

Address
404 W AERO DR
City
Payson
State
Arizona
ZIP Code
85541-5407
Phone
(928) 474-3303

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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