| Jennifer Jackson, Lpc, Pllc | |
|
1301 W Omaha St Suite 209 Rapid City SD 57701-2447 | |
| (605) 342-8082 | |
| (605) 341-3563 |
| Full Name | Jennifer Jackson, Lpc, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1301 W Omaha St, Rapid City, South Dakota |
| Authorized Official Name and Position | Jennifer Louise Jackson (OWNER) |
| Authorized Official Contact | 6053428082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Jackson, Lpc, Pllc 1301 W Omaha St Suite 209 Rapid City SD 57701-2447 Ph: (605) 342-8082 | Jennifer Jackson, Lpc, Pllc 1301 W Omaha St Suite 209 Rapid City SD 57701-2447 Ph: (605) 342-8082 |
| NPI Number | 1114221991 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114221991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC7130 (South Dakota) | Primary |
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