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Michael Scott Jackson
Mental Health Counselor in White City, Oregon
NPI 1962647107

Michael Scott Jackson is a Mental Health Counselor based in Rogue River, OR and is specialized in Mental Health. Michael Scott Jackson practices in White City, OR. The NPI Number for Michael Scott Jackson is 1962647107 and holds a License No. (Oregon).

The current practice location address for Michael Scott Jackson is 8495 Crater Lake Hwy, White City, OR and can be reached out via phone at 541-826-2111.

Location: 8495 Crater Lake Hwy, White City, OR, 97537-9516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962647107
Provider Name
Michael Scott Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
8495 Crater Lake Hwy, White City, OR, 97537-9516
Phone Number
541-826-2111
Fax Number
Provider Enumeration Date
12/02/2008
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05846 01 KS STATE OF KANSAS BEHAVIORAL SCIENCES REGULATORY BOARD
institution
Provider Business Practice Location Address Details
Address
8495 Crater Lake Hwy
City
White City
State
Oregon
Zip
97503-3011
Phone Number
541-826-2111
Fax Number
person
Provider Business Mailing Address Details
Address
8495 Crater Lake Hwy
City
White City
State
Oregon
Zip
97503-3011
Phone Number
541-826-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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