Organization
JENNIFER JACKSON, LPC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER LOUISE JACKSON LPC (OWNER)
(605) 342-8082
Entity
Organization
Contact information
Practice address
1301 W OMAHA ST, SUITE 209, RAPID CITY, SD 57701-2447
(605) 342-8082
(605) 341-3563
Mailing address
1301 W OMAHA ST, SUITE 209, RAPID CITY, SD 57701-2447
(605) 342-8082
(605) 341-3563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC7130
SD
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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