| David W Jackson, LPCC | |
|
919 Rencher St, Clovis, NM 88101-5858 | |
| (575) 769-2142 | |
| (575) 769-2161 |
| Full Name | David W Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 919 Rencher St, Clovis, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427280668 | NPI | - | NPPES |
| 04937261 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0089191 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David W Jackson, LPCC 919 Rencher St, Clovis, NM 88101-5858 Ph: (575) 769-2142 | David W Jackson, LPCC 919 Rencher St, Clovis, NM 88101-5858 Ph: (575) 769-2142 |
Selina Lucero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Janice Coffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Bennie Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 505-471-5006 Fax: 505-820-9220 | |
Dustin D Lawson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Felisha Gumbrecht, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Adrianna P Wycuff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 21st St, Clovis, NM 88101 Phone: 575-769-2345 | |
Spurgeon D Weaver, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |