Individual
REKITA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
809 RICHARD ARRINGTON JR BLVD N, BIRMINGHAM, AL 35203-2301
(205) 325-5670
Mailing address
1025 23RD ST S STE 320, BIRMINGHAM, AL 35205-2499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4280
AL
Other
Enumeration date
09/04/2009
Last updated
02/23/2021
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