Mr. Jaissen M Jackson - Providence, RI

Mr. Jaissen M Jackson

Mental Health Counselor in Providence, Rhode Island

NPI 1275074171

Jaissen M Jackson is a Mental Health Counselor based in Providence, RI and is specialized in Mental Health. Jaissen M Jackson practices in Providence, RI. The NPI Number for Jaissen M Jackson is 1275074171 and holds a License No. (Rhode Island).

The current practice location address for Jaissen M Jackson is 194 Webster Ave, Providence, RI and can be reached out via phone at 401-261-0321.

Location: 194 Webster Ave, Providence, RI, 02904-5762

NPI Number

1275074171

Provider Name

Jaissen M Jackson

Credential

Provider Entity Type

Individual

Gender

Male

Address

194 Webster Ave, Providence, RI, 02904-5762

Phone Number

401-261-0321

Fax Number

Provider Enumeration Date

03/13/2017

Last Update Date

03/09/2024

Address

194 Webster Ave

City

Providence

State

Rhode Island

Zip

02909-3818

Phone Number

401-261-0321

Fax Number

Address

194 Webster Ave

City

Providence

State

Rhode Island

Zip

02909-3818

Phone Number

401-261-0321

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

MHC01094 (Rhode Island)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Mental Health

Taxonomy

101YM0800X

License No.

()

Definition

Definition to come...

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