NPI 1003295809
Katherine Jackson
Practice location
- Address
- 17427 W Wandering Creek Rd, Goodyear, AZ 85338-5735
- Phone
- (253) 208-0756
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003295809
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 May 2015
- Record last updated
- 11 Jul 2024
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.