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Mr. Mark Aaron Jackson
Counselor in Provo, Utah
NPI 1699088252

Mark Aaron Jackson is a Counselor based in Provo, UT. Mark Aaron Jackson practices in Provo, UT. The NPI Number for Mark Aaron Jackson is 1699088252 and holds a License No. (Utah).

The current practice location address for Mark Aaron Jackson is 619 N 500 W, Provo, UT and can be reached out via phone at 801-375-4240 and via fax at 801-375-4241.

Location: 619 N 500 W, Provo, UT, 84601-1547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699088252
Provider Name
Mark Aaron Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
619 N 500 W, Provo, UT, 84601-1547
Phone Number
801-375-4240
Fax Number
801-375-4241
Provider Enumeration Date
07/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
619 N 500 W
City
Provo
State
Utah
Zip
84601-1547
Phone Number
801-375-4240
Fax Number
801-375-4241
person
Provider Business Mailing Address Details
Address
619 N 500 W
City
Provo
State
Utah
Zip
84601-1547
Phone Number
801-375-4240
Fax Number
801-375-4241
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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