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Individual
MR. JAMES TEKULVE JACKSON-VANN
Active
Individual
MR. JAMES TEKULVE JACKSON-VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, CFLE
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4101007287
MI
106H00000X
Marriage & Family Therapist
4253-R
NV
106H00000X
Marriage & Family Therapist
Primary
6707480-3904
UT
106H00000X
Marriage & Family Therapist
MFT.0002259
CO
106H00000X
Marriage & Family Therapist
MFT001145
GA
106H00000X
Marriage & Family Therapist
TPMF826
FL
Other
Enumeration date
05/27/2009
Last updated
11/06/2023
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