Individual
MARY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1530 E WILLIAMS FIELD RD STE 201, GILBERT, AZ 85295-1825
(480) 561-6191
Mailing address
1530 E WILLIAMS FIELD RD STE 201, GILBERT, AZ 85295-1825
(480) 561-6191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
04/29/2021
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