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Individual
MRS. JENNIFER JO-JIVIDEN JACKSON
Active
Individual
MRS. JENNIFER JO-JIVIDEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LMHP, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3842
NE
101YM0800X
Mental Health Counselor
8988
NE
101YM0800X
Mental Health Counselor
Primary
919
NE
101YP2500X
Professional Counselor
1904
NE
Other
Enumeration date
12/28/2009
Last updated
03/16/2023
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