Tamickco Maria Deen Jackson, Mental Health Counse
Counselor, Mental Health in Pearl City, HI. Individual provider (NPI-1).
NPI number1669979738
StatusActive
Last updated in NPPESApr 6, 2018
Details
- NPI
- 1669979738
- Entity type
- Individual (NPI-1)
- Name
- Tamickco Maria Deen Jackson
- Credential
- Mental Health Counse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2018
- Last updated
- Apr 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MHC-418 | HI | Yes |
Practice location
941 Kamehameha Hwy Ste 204Pearl City, HI 96782-2516
Phone 808-633-0405
Mailing address
Po Box 3171Mililani, HI 96789
Phone 808-633-0405
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All 43 Mental Health Counselor providers in Pearl City · All 487 providers in Pearl City
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