Jan Meredith Jackson, M.A.
Counselor, Mental Health in Pawtucket, RI. Individual provider (NPI-1).
NPI number1790284792
StatusActive
Last updated in NPPESFeb 5, 2018
Details
- NPI
- 1790284792
- Entity type
- Individual (NPI-1)
- Name
- Miss Jan Meredith Jackson
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2018
- Last updated
- Feb 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
160 Beechwood AvePawtucket, RI 02860-5402
Phone 401-667-6720
Mailing address
249 Roosevelt Ave Unit 205Pawtucket, RI 02860-2134
Phone 401-724-8400 · Fax 401-305-3874
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All 116 Mental Health Counselor providers in Pawtucket · All 1,697 providers in Pawtucket
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