Individual
VERONICA M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC MHSP
Contact information
Practice address
3385 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3810
(901) 213-9000
Mailing address
3385 AUSTIN PEAY HWY, MEMPHIS, TN 38128-3810
(901) 213-9000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000001621
TN
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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