# JACKSON CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063950749
- **Authorized official:** TARA M JACKSON-SANDERS DIRECTOR OF OPERATIO (DIRECTOR)
- **Authorized official phone:** (402) 321-9225

## Contact information

- **Practice address:** 8031 WEST CENTER ROAD, \#207, OMAHA, NE 68124
- **Practice address phone:** (402) 415-4150
- **Practice address fax:** (402) 377-7111
- **Mailing address:** 8031 WEST CENTER ROAD, \#207, OMAHA, NE 68124
- **Mailing address phone:** (402) 415-4150
- **Mailing address fax:** (402) 377-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NE | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 02/02/2017
- **Last updated:** 02/03/2017
