person
Roger Dale Jackson, MA
Mental Health Counselor in Merrillville, Indiana
NPI 1366957342

Roger Dale Jackson is a Mental Health Counselor based in Lake Station, IN and is specialized in Mental Health. Roger Dale Jackson practices in Merrillville, IN and has the professional credentials of MA. The NPI Number for Roger Dale Jackson is 1366957342 and holds a License No. (Indiana).

The current practice location address for Roger Dale Jackson is 8200 Georgia St, Merrillville, IN and can be reached out via phone at 219-791-1400 and via fax at 219-791-1422.

Location: 8200 Georgia St, Merrillville, IN, 46405-2966
person
Provider Profile Details
NPI Number
1366957342
Provider Name
Roger Dale Jackson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
8200 Georgia St, Merrillville, IN, 46405-2966
Phone Number
219-791-1400
Fax Number
219-791-1422
Provider Enumeration Date
12/12/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8200 Georgia St
City
State
Zip
46410-6227
Phone Number
219-791-1400
Fax Number
219-791-1422
person
Provider Business Mailing Address Details
Address
8200 Georgia St
City
State
Zip
46410-6227
Phone Number
219-791-1400
Fax Number
219-791-1422
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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