DAVAUGHN JACKSON, LPC

Counselor - Professional

Active Individual
NPI: 1821307547

Practice Address

3800 S BROADWAY
Saint Louis, MO 63118

Phone: (314) 772-2205

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 2009022179 (MO)

Frequently Asked Questions

NPI 1821307547 is the National Provider Identifier for DAVAUGHN JACKSON, LPC, a Counselor - Professional provider located in Saint Louis, MO. This NPI was enumerated on September 29, 2010.
DAVAUGHN JACKSON, LPC practices at 3800 S BROADWAY, Saint Louis, MO 63118.

Quick Facts

NPI
1821307547
Type
Individual
Enumerated
Sep 29, 2010
Last Updated
Sep 29, 2010

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