# MR. JAMES TEKULVE JACKSON-VANN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255566881
- **Gender:** Man
- **Credential:** LMFT, CFLE

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 4101007287 | MI | — |
| 106H00000X | Marriage & Family Therapist | 4253-R | NV | — |
| 106H00000X | Marriage & Family Therapist | 6707480-3904 | UT | Yes |
| 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