MS. BEVERLY JACKSON, LCPC
Counselor - Mental Health
Active
Individual
NPI: 1720008444
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 625 (MT) |
Frequently Asked Questions
NPI 1720008444 is the National Provider Identifier for MS. BEVERLY JACKSON, LCPC, a Counselor - Mental Health provider located in Missoula, MT. This NPI was enumerated on July 19, 2006.
MS. BEVERLY JACKSON, LCPC practices at 210 N HIGGINS AVE, 316, Missoula, MT 59802.
Quick Facts
- NPI
- 1720008444
- Type
- Individual
- Enumerated
- Jul 19, 2006
- Last Updated
- Jul 8, 2007
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