person
Antoinette Rosa Jackson (aziz), LPC
Professional Counselor in Philadelphia, Pennsylvania
NPI 1700439171

Antoinette Rosa Jackson (aziz) is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Antoinette Rosa Jackson (aziz) practices in Philadelphia, PA and has the professional credentials of LPC. The NPI Number for Antoinette Rosa Jackson (aziz) is 1700439171 and holds a License No. PC009302 (Pennsylvania).

The current practice location address for Antoinette Rosa Jackson (aziz) is 6122 Ridge Ave, Philadelphia, PA and can be reached out via phone at 215-487-1330.

Location: 6122 Ridge Ave, Philadelphia, PA, 19143-2306
person
Provider Profile Details
NPI Number
1700439171
Provider Name
Antoinette Rosa Jackson (aziz)
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6122 Ridge Ave, Philadelphia, PA, 19143-2306
Phone Number
215-487-1330
Fax Number
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6122 Ridge Ave
City
State
Zip
19128-1603
Phone Number
215-487-1330
Fax Number
person
Provider Business Mailing Address Details
Address
6122 Ridge Ave
City
State
Zip
19128-1603
Phone Number
215-487-1330
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC009302 (Pennsylvania)
Definition
Definition to come...
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