institution
Jackson Psychotherapy, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Lawrence, Kansas
NPI 1578064861

Jackson Psychotherapy, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lawrence, KS and is specialized in Mental Health (Including Community Mental Health Center). Jackson Psychotherapy, Llc practices in Lawrence, KS. The NPI Number for Jackson Psychotherapy, Llc is 1578064861 and holds a License No. 4352 (Kansas).

The current practice location address for Jackson Psychotherapy, Llc is 901 Kentucky St Ste 306, Lawrence, KS and can be reached out via phone at 816-377-7398 and via fax at 816-873-1364.

Location: 901 Kentucky St Ste 306, Lawrence, KS, 66044-2858
institution
Provider Profile Details
NPI Number
1578064861
Provider Name
Jackson Psychotherapy, Llc
Credential
Provider Entity Type
Organization
Address
901 Kentucky St Ste 306, Lawrence, KS, 66044-2858
Phone Number
816-377-7398
Fax Number
816-873-1364
Provider Enumeration Date
02/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2015021883 05 MO
4352 05 KS
2015021883 01 MO BCBS OF KANSAS CITY
4352 01 KS BCBS
institution
Provider Business Practice Location Address Details
Address
901 Kentucky St Ste 306
City
State
Zip
66044-2858
Phone Number
816-377-7398
Fax Number
816-873-1364
person
Provider Business Mailing Address Details
Address
901 Kentucky St Ste 306
City
State
Zip
66044-2858
Phone Number
816-377-7398
Fax Number
816-873-1364
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
4352 (Kansas)
Definition
Definition to come...
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