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Regina Jackson
Mental Health Counselor in New Albany, Indiana
NPI 1811528565

Regina Jackson is a Mental Health Counselor based in New Albany, IN and is specialized in Mental Health. Regina Jackson practices in New Albany, IN. The NPI Number for Regina Jackson is 1811528565 and holds a License No. 88001003A (Indiana).

The current practice location address for Regina Jackson is 3103 Blackiston Mill Rd, New Albany, IN and can be reached out via phone at 812-590-7160.

Location: 3103 Blackiston Mill Rd, New Albany, IN, 47150-9536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811528565
Provider Name
Regina Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3103 Blackiston Mill Rd, New Albany, IN, 47150-9536
Phone Number
812-590-7160
Fax Number
Provider Enumeration Date
01/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3103 Blackiston Mill Rd
City
New Albany
State
Indiana
Zip
47150-9536
Phone Number
812-590-7160
Fax Number
person
Provider Business Mailing Address Details
Address
3103 Blackiston Mill Rd
City
New Albany
State
Indiana
Zip
47150-9536
Phone Number
812-590-7160
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
88001003A (Indiana)
Definition
Definition to come...
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