Individual
KIMBERLY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
2703 N HARRISON ST, WILMINGTON, DE 19802-2924
(302) 507-7688
Mailing address
2703 N HARRISON ST, WILMINGTON, DE 19802-2924
(302) 252-5063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011487
DE
101YP2500X
Professional Counselor
Primary
PC-0011487
DE
Other
Enumeration date
09/04/2020
Last updated
03/10/2026
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