NPI 1114221991

Jennifer Jackson, Lpc, PLLC

Organisation Counselor Rapid City, SD

Practice location

Address: 1301 W Omaha St Suite 209, Rapid City, SD 57701-2447
Phone: (605) 342-8082
Fax: (605) 341-3563

Authorised official

Name: Jennifer Louise Jackson
Title: Owner
Phone: (605) 342-8082

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LPC7130 (SD)

Other Counselor providers in South Dakota →

Registry record

NPI: 1114221991
Entity type: Organization
NPI issued: 7 Jan 2011
Record last updated: 7 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.