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Tonya R Jackson
Mental Health Counselor in Pawtucket, Rhode Island
NPI 1184320442

Tonya R Jackson is a Mental Health Counselor based in Pawtucket, RI and is specialized in Mental Health. Tonya R Jackson practices in Pawtucket, RI. The NPI Number for Tonya R Jackson is 1184320442 and holds a License No. (Rhode Island).

The current practice location address for Tonya R Jackson is 105 Bacon St, Pawtucket, RI and can be reached out via phone at 401-722-5573.

Location: 105 Bacon St, Pawtucket, RI, 02860-5542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184320442
Provider Name
Tonya R Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 Bacon St, Pawtucket, RI, 02860-5542
Phone Number
401-722-5573
Fax Number
Provider Enumeration Date
02/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Bacon St
City
Pawtucket
State
Rhode Island
Zip
02860-5542
Phone Number
401-722-5573
Fax Number
person
Provider Business Mailing Address Details
Address
105 Bacon St
City
Pawtucket
State
Rhode Island
Zip
02860-5542
Phone Number
401-722-5573
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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