Organization
DANA JACKSON, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA MARIE JACKSON LCSW (PRIMARY THERAPIST)
(435) 760-2906
Entity
Organization
Contact information
Practice address
186 E 1800 N STE 1, NORTH LOGAN, UT 84341-2245
(435) 213-3026
Mailing address
186 E 1800 N STE 1, NORTH LOGAN, UT 84341-2245
(435) 213-3026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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