Individual
JENNIFER DAWN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 ORVILLE BATES LN, ESTILL SPRINGS, TN 37330-4278
(931) 222-0801
Mailing address
240 ORVILLE BATES LN, ESTILL SPRINGS, TN 37330-4278
(931) 222-0801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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