Individual
JAMEELA A JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1808113
AR
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
A1510138
AR
Other
Enumeration date
03/21/2011
Last updated
09/19/2018
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