person
Dr. Deirdre Renee' Jackson, PHDLCMHCSLPCNCC
Professional Counselor in Clarksville, Tennessee
NPI 1215343009

Deirdre Renee' Jackson is a Professional Counselor based in Clarksville, TN and is specialized in Professional. Deirdre Renee' Jackson practices in Clarksville, TN and has the professional credentials of PHDLCMHCSLPCNCC. The NPI Number for Deirdre Renee' Jackson is 1215343009 and holds a License No. S12958 (Tennessee).

The current practice location address for Deirdre Renee' Jackson is 1059 Spicer Dr, Clarksville, TN and can be reached out via phone at 615-473-5152.

Location: 1059 Spicer Dr, Clarksville, TN, 37042-2120
person
Provider Profile Details
NPI Number
1215343009
Provider Name
Deirdre Renee' Jackson
Credential
PHDLCMHCSLPCNCC
Provider Entity Type
Individual
Gender
Female
Address
1059 Spicer Dr, Clarksville, TN, 37042-2120
Phone Number
615-473-5152
Fax Number
Provider Enumeration Date
07/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1059 Spicer Dr
City
State
Zip
37042-2120
Phone Number
615-473-5152
Fax Number
person
Provider Business Mailing Address Details
Address
1059 Spicer Dr
City
State
Zip
37042-2120
Phone Number
615-473-5152
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1744 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
S12958 (North Carolina)
Definition
Definition to come...
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