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Theresa Jackson
Counselor in Forestdale, Massachusetts
NPI 1063832509

Theresa Jackson is a Counselor based in Forestdale, MA. Theresa Jackson practices in Forestdale, MA. The NPI Number for Theresa Jackson is 1063832509 and holds a License No. (Massachusetts).

The current practice location address for Theresa Jackson is 18 J Braden Thompson Rd, Forestdale, MA and can be reached out via phone at 508-681-8257.

Location: 18 J Braden Thompson Rd, Forestdale, MA, 02644-1555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063832509
Provider Name
Theresa Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
18 J Braden Thompson Rd, Forestdale, MA, 02644-1555
Phone Number
508-681-8257
Fax Number
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18 J Braden Thompson Rd
City
Forestdale
State
Massachusetts
Zip
02644-1555
Phone Number
508-681-8257
Fax Number
person
Provider Business Mailing Address Details
Address
18 J Braden Thompson Rd
City
Forestdale
State
Massachusetts
Zip
02644-1555
Phone Number
508-681-8257
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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