NPI 1265036016
Leah Marie Jackson
Practice location
- Address
- 2400 W 64th St, Richfield, MN 55423-1001
- Phone
- (612) 798-8356
- Fax
- (612) 798-5301
- Mailing address
- 6335 Lyndale Ave S APT 107, Richfield, MN 55423-1463
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1265036016
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Nov 2020
- Record last updated
- 23 Nov 2020
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.