MS. Diana Sue Jackson, LMHC, CADC
NPI #1902352412 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1902352412
- Entity Type
- Individual
- Name
- MS. Diana Sue Jackson, LMHC, CADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LMHC, CADC
- Enumeration Date
- Aug 25, 2016
- Last Updated
- May 1, 2019
Practice Location
- Address
- 1744 2ND AVE SE
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52403-2306
- Phone
- (319) 366-4673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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