Individual
DREW JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
400 HILLTOP DR, AZTEC, NM 87410-1863
(575) 562-8343
Mailing address
112 W CHACO ST, AZTEC, NM 87410-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0024
NM
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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