Dr. Anita P Jackson, Ph.D.
Counselor, Professional in Zanesville, OH. Individual provider (NPI-1).
NPI number1679620652
StatusActive
Last updated in NPPESNov 28, 2007
Details
- NPI
- 1679620652
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anita P Jackson
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Nov 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E1514 | OH | Yes |
Other names
- Anita P Jackson (Professional Name)
Practice location
573 Brookover AveZanesville, OH 43701-2101
Phone 740-450-7620 · Fax 740-450-7618
Mailing address
573 Brookover AveZanesville, OH 43701-2101
Phone 740-450-7620 · Fax 740-450-7618
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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