Jennifer Jackson, Lpc, Pllc | |
1301 W Omaha St Suite 209 Rapid City SD 57701-2447 | |
(605) 342-8082 | |
(605) 341-3563 |
Full Name | Jennifer Jackson, Lpc, Pllc |
---|---|
Speciality | Counselor |
Location | 1301 W Omaha St, Rapid City, South Dakota |
Authorized Official Name and Position | Jennifer Louise Jackson (OWNER) |
Authorized Official Contact | 6053428082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jennifer Jackson, Lpc, Pllc 1301 W Omaha St Suite 209 Rapid City SD 57701-2447 Ph: (605) 342-8082 | Jennifer Jackson, Lpc, Pllc 1301 W Omaha St Suite 209 Rapid City SD 57701-2447 Ph: (605) 342-8082 |
NPI Number | 1114221991 |
---|---|
Provider Enumeration Date | 01/07/2011 |
Last Update Date | 01/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114221991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC7130 (South Dakota) | Primary |
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