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Individual
MRS. JILL ALANA JACKSON
Active
Individual
MRS. JILL ALANA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00738
IA
101YM0800X
Mental Health Counselor
Primary
00738
IA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
00738
IA
Other
Enumeration date
03/24/2006
Last updated
12/26/2023
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