Individual
DONALD A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
NCED MS 285, UNIVERSITY OF NEVADA, RENO, RENO, NV 89557-1285
(775) 682-9049
(775) 784-4997
Mailing address
PO BOX 54, VERDI, NV 89439-0054
(775) 848-5578
(775) 784-4997
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY119
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616059
—
NV
Enumeration date
12/05/2006
Last updated
10/28/2016
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