Individual
EMILY KRISTIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MH, NCC, QMHP
Contact information
Practice address
1110 E 77TH ST, SIOUX FALLS, SD 57108-3020
(605) 275-0009
Mailing address
3501 S LINEDRIVE AVE APT 107, SIOUX FALLS, SD 57110-4127
(712) 261-1945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-MH30714
SD
Other
Enumeration date
11/22/2021
Last updated
11/28/2023
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