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Jackson T Douglas, LPC
Professional Counselor in Springfield, Missouri
NPI 1356695183

Jackson T Douglas is a Professional Counselor based in Springfield, MO and is specialized in Professional. Jackson T Douglas practices in Springfield, MO and has the professional credentials of LPC. The NPI Number for Jackson T Douglas is 1356695183 and holds a License No. (Missouri).

The current practice location address for Jackson T Douglas is 1300 E Bradford Pkwy, Springfield, MO and can be reached out via phone at 417-761-5000 and via fax at 417-761-5111.

Location: 1300 E Bradford Pkwy, Springfield, MO, 65804-4264
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Provider Profile Details
NPI Number
1356695183
Provider Name
Jackson T Douglas
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1300 E Bradford Pkwy, Springfield, MO, 65804-4264
Phone Number
417-761-5000
Fax Number
417-761-5111
Provider Enumeration Date
10/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 E Bradford Pkwy
City
State
Zip
65804-4264
Phone Number
417-761-5000
Fax Number
417-761-5111
person
Provider Business Mailing Address Details
Address
1300 E Bradford Pkwy
City
State
Zip
65804-4264
Phone Number
417-761-5000
Fax Number
417-761-5111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
2014040178 (Missouri)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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