Individual
DEANNA NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 N ROAN ST, JOHNSON CITY, TN 37601-2519
(423) 202-7426
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(865) 588-3173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TN
101YM0800X
Mental Health Counselor
Primary
—
TN
101YP2500X
Professional Counselor
Primary
8655
TN
Other
Enumeration date
02/23/2026
Last updated
04/23/2026
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