Individual
MRS. JENNIFER MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
532 W PITTSBURGH ST, GREENSBURG, PA 15601-2239
(724) 832-4450
Mailing address
2417 BROWNFIELD DR, GREENSBURG, PA 15601-4903
(724) 771-0200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW130909
PA
1041C0700X
Clinical Social Worker
Primary
CW020666
PA
Other
Enumeration date
04/30/2019
Last updated
05/25/2021
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