person
Mr. Brian M. Jackson, LPC
Professional Counselor in Coburg, Oregon
NPI 1275048167

Brian M. Jackson is a Professional Counselor based in Coburg, OR and is specialized in Professional. Brian M. Jackson practices in Coburg, OR and has the professional credentials of LPC. The NPI Number for Brian M. Jackson is 1275048167 and holds a License No. LPC-13803 (Oregon).

The current practice location address for Brian M. Jackson is 91150 Coburg Industrial Way Serenity Lane, Coburg, OR and can be reached out via phone at 541-687-1110. You can also correspond with Brian M. Jackson through the mailing address at P.O. BOX 8549 SERENITY LANE, COBURG, OR - 97408 (mailing address contact number: 541-687-1110).

Location: 91150 Coburg Industrial Way Serenity Lane, Coburg, OR, 97408
person
Provider Profile Details
NPI Number
1275048167
Provider Name
Brian M. Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
91150 Coburg Industrial Way Serenity Lane, Coburg, OR, 97408
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
12/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
91150 Coburg Industrial Way Serenity Lane
City
State
Zip
97408
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
91150 Coburg Industrial Way Serenity Lane
City
State
Zip
97408
Phone Number
541-687-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-13803 (Arizona)
Definition
Definition to come...
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