# JACKSON THERAPY & CONSULTING LLC

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

## Provider details

- **NPI number:** 1194596676
- **Authorized official:** MS. RONELLE JACKSON (LIMHP)
- **Authorized official phone:** (308) 529-3551

## Contact information

- **Practice address:** 4719 27TH ST, COLUMBUS, NE 68601-2157
- **Practice address phone:** (308) 529-3551
- **Mailing address:** 4719 27TH ST, COLUMBUS, NE 68601-2157

## Taxonomy

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

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 01/12/2024