Individual
VICTORIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10628 W 87TH ST, OVERLAND PARK, KS 66214-1651
(901) 483-6667
Mailing address
10628 W 87TH ST, OVERLAND PARK, KS 66214-1651
(901) 483-6667
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/19/2021
Last updated
03/07/2025
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