Individual
LISA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2931 BUCKNER LN, SPRING HILL, TN 37174-8242
(805) 450-7270
Mailing address
2931 BUCKNER LN, SPRING HILL, TN 37174-8242
(805) 450-7270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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