Individual
STACI LYN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1136 MAIN ST, LEICESTER, MA 01524-1349
(607) 207-6681
Mailing address
436 SOUTHBRIDGE ST., SUITE 2, #1006, AUBURN, MA 01501
(607) 207-6681
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1836
MA
Other
Enumeration date
09/26/2022
Last updated
08/12/2025
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