Jessica L Jackson is a Counselor based in Omaha, NE. Jessica L Jackson practices in Omaha, NE. The NPI Number for Jessica L Jackson is 1104108752 and holds a License No. 9174 (Nebraska).
The current practice location address for Jessica L Jackson is 4719 Laurel Ave, Omaha, NE and can be reached out via phone at 402-451-5549.
Location: 4719 Laurel Ave, Omaha, NE, 68104-1462
Provider Profile Details
NPI Number
1104108752
Provider Name
Jessica L Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4719 Laurel Ave, Omaha, NE, 68104-1462
Phone Number
402-451-5549
Fax Number
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39-201810826 | 05 | NE |
Provider Business Practice Location Address Details
Address
4719 Laurel Ave
City
State
Zip
68104-1462
Phone Number
402-451-5549
Fax Number
Provider Business Mailing Address Details
Address
4719 Laurel Ave
City
State
Zip
68104-1462
Phone Number
402-451-5549
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
9174 (Nebraska)
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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