Individual
HEATHER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1045 E 23RD ST, LAWRENCE, KS 66046-5003
(785) 393-6167
Mailing address
1045 E 23RD ST, LAWRENCE, KS 66046-5003
(785) 393-6167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04163
KS
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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