Individual
CIERRA SHAMAR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2220 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411-3600
(612) 543-2561
Mailing address
2220 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411-3600
(612) 543-2561
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1366
MN
Other
Enumeration date
11/03/2016
Last updated
09/22/2025
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