NPI Index

MS. LYNDELL JACKSON, LCPC

Counselor - Mental Health

Active Individual
NPI: 1073654034

Practice Address

2020 BLAINE ST
Caldwell, ID 83605

Phone: (208) 880-6127

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes LCPC234 (ID)

Frequently Asked Questions

NPI 1073654034 is the National Provider Identifier for MS. LYNDELL JACKSON, LCPC, a Counselor - Mental Health provider located in Caldwell, ID. This NPI was enumerated on February 10, 2007.
MS. LYNDELL JACKSON, LCPC practices at 2020 BLAINE ST, Caldwell, ID 83605.

Quick Facts

NPI
1073654034
Type
Individual
Enumerated
Feb 10, 2007
Last Updated
Jul 9, 2007

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