person
Mrs. Lisa Jackson, LSW
Mental Health Counselor in Coal Grove, Ohio
NPI 1265603500

Lisa Jackson is a Mental Health Counselor based in Portsmouth, OH and is specialized in Mental Health. Lisa Jackson practices in Coal Grove, OH and has the professional credentials of LSW. The NPI Number for Lisa Jackson is 1265603500 and holds a License No. S-0015848 (Ohio).

The current practice location address for Lisa Jackson is 715 Lane St, Coal Grove, OH and can be reached out via phone at 740-355-8606 and via fax at 740-353-1662.

Location: 715 Lane St, Coal Grove, OH, 45662
person
Provider Profile Details
NPI Number
1265603500
Provider Name
Lisa Jackson
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
715 Lane St, Coal Grove, OH, 45662
Phone Number
740-355-8606
Fax Number
740-353-1662
Provider Enumeration Date
03/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
715 Lane St
City
State
Zip
45638-3161
Phone Number
740-355-8606
Fax Number
740-353-1662
person
Provider Business Mailing Address Details
Address
715 Lane St
City
State
Zip
45638-3161
Phone Number
740-355-8606
Fax Number
740-353-1662
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
S-0015848 (Ohio)
Definition
Definition to come...
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