NPI 1003504432

Courtney Jackson, MS

Practitioner Professional Counselor Goodyear, AZ

Practice location

Address: 4045 S 180th Dr, Goodyear, AZ 85338-6444
Phone: (480) 937-9546

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Registry record

NPI: 1003504432
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2023
Record last updated: 25 Apr 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.