person
Adriaka Y Jackson, MS
Mental Health Counselor in Indianapolis, Indiana
NPI 1295378941

Adriaka Y Jackson is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Adriaka Y Jackson practices in Indianapolis, IN and has the professional credentials of MS. The NPI Number for Adriaka Y Jackson is 1295378941 and holds a License No. 99092140A (Indiana).

The current practice location address for Adriaka Y Jackson is 5868 E 71St St Ste E-630, Indianapolis, IN and can be reached out via phone at 317-835-3435.

Location: 5868 E 71St St Ste E-630, Indianapolis, IN, 46220-4075
person
Provider Profile Details
NPI Number
1295378941
Provider Name
Adriaka Y Jackson
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
5868 E 71St St Ste E-630, Indianapolis, IN, 46220-4075
Phone Number
317-835-3435
Fax Number
Provider Enumeration Date
10/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8973191013 01 IN 8973191013
institution
Provider Business Practice Location Address Details
Address
5868 E 71St St Ste E-630
City
State
Zip
46220-4075
Phone Number
317-835-3435
Fax Number
person
Provider Business Mailing Address Details
Address
5868 E 71St St Ste E-630
City
State
Zip
46220-4075
Phone Number
317-835-3435
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
39004508A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
99092140A (Indiana)
Definition
Definition to come...
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