Individual
DR. ANTHONY JEROME JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV., M.A., D.MIN.
Contact information
Practice address
1826 CHELSEA RD, ELKINS PARK, PA 19027-1056
(267) 625-9433
Mailing address
1826 CHELSEA RD, ELKINS PARK, PA 19027-1056
(267) 625-9433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM0800X
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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