person
Kathleen Ann Jackson
Peer Specialist in Klamath Falls, Oregon
NPI 1255040937

Kathleen Ann Jackson is a Peer Specialist based in Klamath Falls, OR. Kathleen Ann Jackson practices in Klamath Falls, OR. The NPI Number for Kathleen Ann Jackson is 1255040937 and holds a License No. (Oregon).

The current practice location address for Kathleen Ann Jackson is 3206 Onyx Ave, Klamath Falls, OR and can be reached out via phone at 541-363-1277.

Location: 3206 Onyx Ave, Klamath Falls, OR, 97603-7279
person
Provider Profile Details
NPI Number
1255040937
Provider Name
Kathleen Ann Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3206 Onyx Ave, Klamath Falls, OR, 97603-7279
Phone Number
541-363-1277
Fax Number
Provider Enumeration Date
11/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THW000106149 01 OR OHA
institution
Provider Business Practice Location Address Details
Address
3206 Onyx Ave
City
State
Zip
97603-7279
Phone Number
541-363-1277
Fax Number
person
Provider Business Mailing Address Details
Address
3206 Onyx Ave
City
State
Zip
97603-7279
Phone Number
541-363-1277
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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