Individual
ALLISON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4200
(913) 826-1589
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3299
(913) 826-4200
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCP 1471
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201102500A
—
KS
Enumeration date
09/15/2014
Last updated
04/18/2019
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