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Dr. Jonnie R. Jackson
Pastoral Counselor in East Stroudsburg, Pennsylvania
NPI 1225550502

Jonnie R. Jackson is a Pastoral Counselor based in East Stroudsburg, PA and is specialized in Pastoral. Jonnie R. Jackson practices in East Stroudsburg, PA. The NPI Number for Jonnie R. Jackson is 1225550502 and holds a License No. (Pennsylvania).

The current practice location address for Jonnie R. Jackson is 141 Runnymede Dr, East Stroudsburg, PA and can be reached out via phone at 570-476-4279.

Location: 141 Runnymede Dr, East Stroudsburg, PA, 18301-6958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225550502
Provider Name
Jonnie R. Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
141 Runnymede Dr, East Stroudsburg, PA, 18301-6958
Phone Number
570-476-4279
Fax Number
Provider Enumeration Date
07/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000000000000000 05 PA
institution
Provider Business Practice Location Address Details
Address
141 Runnymede Dr
City
East Stroudsburg
State
Pennsylvania
Zip
18301-6958
Phone Number
570-476-4279
Fax Number
person
Provider Business Mailing Address Details
Address
141 Runnymede Dr
City
East Stroudsburg
State
Pennsylvania
Zip
18301-6958
Phone Number
570-476-4279
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
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