person
Tyra Jackson
Mental Health Counselor in Dover, Delaware
NPI 1770222465

Tyra Jackson is a Mental Health Counselor based in Dover, DE and is specialized in Mental Health. Tyra Jackson practices in Dover, DE. The NPI Number for Tyra Jackson is 1770222465 and holds a License No. AC-0010351 (Delaware).

The current practice location address for Tyra Jackson is 8 The Grn Ste 12921, Dover, DE and can be reached out via phone at 302-213-6158.

Location: 8 The Grn Ste 12921, Dover, DE, 19901-3618
person
Provider Profile Details
NPI Number
1770222465
Provider Name
Tyra Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8 The Grn Ste 12921, Dover, DE, 19901-3618
Phone Number
302-213-6158
Fax Number
Provider Enumeration Date
06/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8 The Grn Ste 12921
City
State
Zip
19901-3618
Phone Number
302-213-6158
Fax Number
person
Provider Business Mailing Address Details
Address
8 The Grn Ste 12921
City
State
Zip
19901-3618
Phone Number
302-213-6158
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
AC-0010351 (Delaware)
Definition
Definition to come...
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