Individual
MRS. KAYLA MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1099 NORTH MERIDIAN STREET, SUITE 900, INDIANAPOLIS, IN 46204
(317) 988-1418
Mailing address
1099 N MERIDIAN ST STE 900, INDIANAPOLIS, IN 46204-1030
(317) 988-1418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008189A
IN
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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