person
Kelly Jackson
Mental Health Counselor in Philadelphia, Pennsylvania
NPI 1518274240

Kelly Jackson is a Mental Health Counselor based in Philadelphia, PA and is specialized in Mental Health. Kelly Jackson practices in Philadelphia, PA. The NPI Number for Kelly Jackson is 1518274240 and holds a License No. (Pennsylvania).

The current practice location address for Kelly Jackson is 112 N Broad St, Philadelphia, PA and can be reached out via phone at 215-568-0860.

Location: 112 N Broad St, Philadelphia, PA, 19102-1512
person
Provider Profile Details
NPI Number
1518274240
Provider Name
Kelly Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
112 N Broad St, Philadelphia, PA, 19102-1512
Phone Number
215-568-0860
Fax Number
Provider Enumeration Date
09/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 N Broad St
City
State
Zip
19102-1512
Phone Number
215-568-0860
Fax Number
person
Provider Business Mailing Address Details
Address
112 N Broad St
City
State
Zip
19102-1512
Phone Number
215-568-0860
Fax Number
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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