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Miss Takira C. Jackson, LAC
Counselor in Phoenix, Arizona
NPI 1720709140

Takira C. Jackson is a Counselor based in Phoenix, AZ. Takira C. Jackson practices in Phoenix, AZ and has the professional credentials of LAC. The NPI Number for Takira C. Jackson is 1720709140 and holds a License No. LAC-21216 (Arizona).

The current practice location address for Takira C. Jackson is 14413 S 47Th Pl, Phoenix, AZ and can be reached out via phone at 716-400-2465.

Location: 14413 S 47Th Pl, Phoenix, AZ, 85044-6215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720709140
Provider Name
Takira C. Jackson
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
14413 S 47Th Pl, Phoenix, AZ, 85044-6215
Phone Number
716-400-2465
Fax Number
Provider Enumeration Date
09/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14413 S 47Th Pl
City
Phoenix
State
Arizona
Zip
85044-6215
Phone Number
716-400-2465
Fax Number
person
Provider Business Mailing Address Details
Address
14413 S 47Th Pl
City
Phoenix
State
Arizona
Zip
85044-6215
Phone Number
716-400-2465
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LAC-21216 (Arizona)
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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