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Ms. Beverly Jackson, LCPC
Mental Health Counselor in Missoula, Montana
NPI 1720008444

Beverly Jackson is a Mental Health Counselor based in Missoula, MT and is specialized in Mental Health. Beverly Jackson practices in Missoula, MT and has the professional credentials of LCPC. The NPI Number for Beverly Jackson is 1720008444 and holds a License No. 625 (Montana).

The current practice location address for Beverly Jackson is 210 N Higgins Ave, Missoula, MT and can be reached out via phone at 406-542-1313.

Location: 210 N Higgins Ave, Missoula, MT, 59802-3358
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Provider Profile Details
NPI Number
1720008444
Provider Name
Beverly Jackson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
210 N Higgins Ave, Missoula, MT, 59802-3358
Phone Number
406-542-1313
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
625 01 MT MT STATE LICENSE
75135 01 MT BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
210 N Higgins Ave
City
State
Zip
59802-4462
Phone Number
406-542-1313
Fax Number
person
Provider Business Mailing Address Details
Address
210 N Higgins Ave
City
State
Zip
59802-4462
Phone Number
406-542-1313
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
625 (Montana)
Definition
Definition to come...
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