Individual
MRS. DEMETRIA MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
708 W WHITE RIVER BLVD, MUNCIE, IN 47303-3866
(765) 288-1110
Mailing address
708 W WHITE RIVER BLVD, MUNCIE, IN 47303-3866
(765) 288-1110
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
04/28/2020
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