NPI 1013228519

Lora J Jackson, MSLPCNCC

Practitioner Counselor Everett, PA

Practice location

Address: 110 W Main St, Everett, PA 15537-1131
Phone: (814) 652-2650
Mailing address: PO Box 398 10309 Greenwood Street, Ellerslie, MD 21529-0398

Registered specialties (2)

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence PC005514 (PA)

Other Counselor providers in Pennsylvania →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LC2939 (MD)

Registry record

NPI: 1013228519
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2010
Record last updated: 29 Jun 2010

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.