person
Dr. Jacob Jerry Jackson, PHD,LMHC,CADC
Mental Health Counselor in Le Mars, Iowa
NPI 1003366329

Jacob Jerry Jackson is a Mental Health Counselor based in Le Mars, IA and is specialized in Mental Health. Jacob Jerry Jackson practices in Le Mars, IA and has the professional credentials of PHD,LMHC,CADC. The NPI Number for Jacob Jerry Jackson is 1003366329 and holds a License No. 15081 (Iowa).

The current practice location address for Jacob Jerry Jackson is 180 10Th St Se Ste 201, Le Mars, IA and can be reached out via phone at 712-546-4624 and via fax at 712-546-9395.

Location: 180 10Th St Se Ste 201, Le Mars, IA, 51031-2559
person
Provider Profile Details
NPI Number
1003366329
Provider Name
Jacob Jerry Jackson
Credential
PHD,LMHC,CADC
Provider Entity Type
Individual
Gender
Male
Address
180 10Th St Se Ste 201, Le Mars, IA, 51031-2559
Phone Number
712-546-4624
Fax Number
712-546-9395
Provider Enumeration Date
10/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
180 10Th St Se Ste 201
City
State
Zip
51031-2557
Phone Number
712-546-4624
Fax Number
712-546-9395
person
Provider Business Mailing Address Details
Address
180 10Th St Se Ste 201
City
State
Zip
51031-2557
Phone Number
712-546-4624
Fax Number
712-546-9395
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
15081 (Iowa)
Definition
Definition to come...
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