Individual
CLARISA A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 COURT ST STE 3, PLYMOUTH, MA 02360-7351
(508) 830-3444
Mailing address
430 COURT ST STE 3, PLYMOUTH, MA 02360-7351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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