Individual
DANIEL B JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4600
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002314A
IN
106H00000X
Marriage & Family Therapist
35000015A
IN
Other
Enumeration date
12/07/2005
Last updated
02/28/2018
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