Individual
LEAH ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5 STRAUSS WAY, NEWARK, DE 19702-3014
(914) 424-7673
Mailing address
221 GUMBORO RD, SELBYVILLE, DE 19975-9499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008618
NY
101YM0800X
Mental Health Counselor
4266
NE
101YM0800X
Mental Health Counselor
PC-0011042
DE
101YP2500X
Professional Counselor
Primary
008618
NY
101YP2500X
Professional Counselor
PC-0011042
DE
Other
Enumeration date
07/16/2020
Last updated
05/01/2026
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