NPI 1003366329

Jacob Jerry Jackson, PHDLMHCCADC

Practitioner Mental Health Counselor Le Mars, IA

Practice location

Address: 180 10th St SE STE 201, Le Mars, IA 51031-2557
Phone: (712) 546-4624
Fax: (712) 546-9395
Mailing address: 180 10th St SE, Le Mars, IA 51031-2559

Registered specialties (2)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Iowa →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 15081 (IA)

Registry record

NPI: 1003366329
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2016
Record last updated: 6 Nov 2023

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.