Individual
CASSIE THACKER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER OF EDUCATION
Contact information
Practice address
4987 MURPHY DOME RD, FAIRBANKS, AK 99709-5974
(907) 888-2082
Mailing address
4987 MURPHY DOME RD, FAIRBANKS, AK 99709-5974
(907) 888-2082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
03/04/2026
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