JAMIE JACKSON, BEYOND HS

Counselor

Active Individual
NPI: 1750679791

Practice Address

101 BACON ST
Pawtucket, RI 02860

Phone: (401) 724-8400

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1750679791 is the National Provider Identifier for JAMIE JACKSON, BEYOND HS, a Counselor provider located in Pawtucket, RI. This NPI was enumerated on July 12, 2011.
JAMIE JACKSON, BEYOND HS practices at 101 BACON ST, Pawtucket, RI 02860.

Quick Facts

NPI
1750679791
Type
Individual
Enumerated
Jul 12, 2011
Last Updated
Jul 12, 2011

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