Michael Scott Jackson
NPI #1962647107 in White City, Oregon
Provider Information
- NPI Number
- 1962647107
- Entity Type
- Individual
- Name
- Michael Scott Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 2, 2008
- Last Updated
- Oct 9, 2024
Practice Location
- Address
- 8495 CRATER LAKE HWY
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 826-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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