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Ms. Diana Sue Jackson, LMHC,CADC
Mental Health Counselor in Cedar Rapids, Iowa
NPI 1902352412

Diana Sue Jackson is a Mental Health Counselor based in Cedar Rapids, IA and is specialized in Mental Health. Diana Sue Jackson practices in Cedar Rapids, IA and has the professional credentials of LMHC,CADC. The NPI Number for Diana Sue Jackson is 1902352412 and holds a License No. 14116 (Iowa).

The current practice location address for Diana Sue Jackson is 1744 2Nd Ave Se, Cedar Rapids, IA and can be reached out via phone at 319-366-4673. You can also correspond with Diana Sue Jackson through the mailing address at 4101 HICKORY HILL LN, CEDAR RAPIDS, IA - 52403-3740 (mailing address contact number: 319-213-3775).

Location: 1744 2Nd Ave Se, Cedar Rapids, IA, 52403-3740
person
Provider Profile Details
NPI Number
1902352412
Provider Name
Diana Sue Jackson
Credential
LMHC,CADC
Provider Entity Type
Individual
Gender
Female
Address
1744 2Nd Ave Se, Cedar Rapids, IA, 52403-3740
Phone Number
319-366-4673
Fax Number
Provider Enumeration Date
08/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1744 2Nd Ave Se
City
State
Zip
52403-2306
Phone Number
319-366-4673
Fax Number
person
Provider Business Mailing Address Details
Address
4101 Hickory Hill Ln
City
State
Zip
52403-3740
Phone Number
319-213-3775
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
079713 (Iowa)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
14116 (Iowa)
Definition
Definition to come...
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