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Ms. Alfaye Jackson, PLPC
Professional Counselor in Rolla, Missouri
NPI 1770749905

Alfaye Jackson is a Professional Counselor based in Rolla, MO and is specialized in Professional. Alfaye Jackson practices in Rolla, MO and has the professional credentials of PLPC. The NPI Number for Alfaye Jackson is 1770749905 and holds a License No. 2008015070 (Missouri).

The current practice location address for Alfaye Jackson is 104 Fox Creek Rd, Rolla, MO and can be reached out via phone at 417-693-2770. You can also correspond with Alfaye Jackson through the mailing address at 104 FOX CREEK RD, ROLLA, MO - 65401-3620 (mailing address contact number: ).

Location: 104 Fox Creek Rd, Rolla, MO, 65401-3620
person
Provider Profile Details
NPI Number
1770749905
Provider Name
Alfaye Jackson
Credential
PLPC
Provider Entity Type
Individual
Gender
Female
Address
104 Fox Creek Rd, Rolla, MO, 65401-3620
Phone Number
417-693-2770
Fax Number
Provider Enumeration Date
08/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490047336 05 MO
institution
Provider Business Practice Location Address Details
Address
104 Fox Creek Rd
City
State
Zip
65401-3620
Phone Number
417-693-2770
Fax Number
person
Provider Business Mailing Address Details
Address
104 Fox Creek Rd
City
State
Zip
65401-3620
Phone Number
417-693-2770
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2008015070 (Missouri)
Definition
Definition to come...
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