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Kellie Jackson
Mental Health Counselor in Audubon, Pennsylvania
NPI 1447911565

Kellie Jackson is a Mental Health Counselor based in Bryn Mawr, PA and is specialized in Mental Health. Kellie Jackson practices in Audubon, PA. The NPI Number for Kellie Jackson is 1447911565 and holds a License No. (Pennsylvania).

The current practice location address for Kellie Jackson is 837 Mourning Dove Rd, Audubon, PA and can be reached out via phone at 610-716-6412.

Location: 837 Mourning Dove Rd, Audubon, PA, 19010-3224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447911565
Provider Name
Kellie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
837 Mourning Dove Rd, Audubon, PA, 19010-3224
Phone Number
610-716-6412
Fax Number
Provider Enumeration Date
01/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
837 Mourning Dove Rd
City
Audubon
State
Pennsylvania
Zip
19403-1820
Phone Number
610-716-6412
Fax Number
person
Provider Business Mailing Address Details
Address
837 Mourning Dove Rd
City
Audubon
State
Pennsylvania
Zip
19403-1820
Phone Number
610-716-6412
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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