Individual
DESIREE NICOLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 N ALMA SCHOOL RD, CHANDLER, AZ 85224-4363
(480) 641-1165
Mailing address
2161 E NEW BEDFORD DR, GILBERT, AZ 85234-3865
(480) 859-9997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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