NPI 1003540360

James M Jackson, COUNSELOR

Practitioner Counselor Charleston, WV

Practice location

Address: 2157 Greenbrier St, Charleston, WV 25311-9623
Phone: (304) 344-5924
Fax: (304) 344-3503

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in West Virginia →

Registry record

NPI: 1003540360
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2022
Record last updated: 13 Jul 2022

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.