| Mr Richard Brendan Jackson, LPC, LMAC-T | |
|
6221 Richards Dr, Shawnee, KS 66216-1724 | |
| (913) 248-1943 | |
| Not Available |
| Full Name | Mr Richard Brendan Jackson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6221 Richards Dr, Shawnee, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912500554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00906-T (Kansas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 03696 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Brendan Jackson, LPC, LMAC-T 6221 Richards Dr, Shawnee, KS 66216-1724 Ph: (913) 248-1943 | Mr Richard Brendan Jackson, LPC, LMAC-T 6221 Richards Dr, Shawnee, KS 66216-1724 Ph: (913) 248-1943 |
Jennifer Melby, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Douglas Johnson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994 | |
Kevin Ryan Kufeldt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Alexandria Wagner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Andrew Funk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4100 | |
Kristy Mccollum-wachter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4200 | |
Sue Jacobson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994 |