Katherine Jackson, - Counselor in Phoenix, AZ

Katherine Jackson, is a Counselor - Mental Health based in Phoenix, Arizona. Katherine Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is 9920 W Camelback Rd Unit 2026, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (253) 208-0756.

NPI number for Katherine Jackson is 1003295809 and her current mailing address is 2942 N 24th St Ste 114, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003295809.

Contact Information

Katherine Jackson,
9920 W Camelback Rd Unit 2026,
Phoenix, AZ 85037-5056
(253) 208-0756
Not Available

Healthcare Provider's Profile

Full NameKatherine Jackson
GenderFemale
SpecialityCounselor - Mental Health
Location9920 W Camelback Rd Unit 2026, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003295809
  • Provider Enumeration Date: 05/26/2015
  • Last Update Date: 03/05/2021

Medical Identifiers

Medical identifiers for Katherine Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003295809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katherine Jackson,
2942 N 24th St Ste 114,
Phoenix, AZ 85016-7849

Ph: (602) 641-3006
Katherine Jackson,
9920 W Camelback Rd Unit 2026,
Phoenix, AZ 85037-5056

Ph: (253) 208-0756

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Counselor in Phoenix, AZ

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