Amanda Jackson
Amanda Jackson is a Mental Health Counselor in Derby, Kansas. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3406 Laughlin StDerby, KS 67037-2309
Phone: (316) 789-4116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1023680394 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 15, 2021 |
| Last updated in NPPES | July 15, 2021 |
| Certification date | July 15, 2021 |
| Mailing address | 3406 Laughlin St, Derby, KS 67037-2309 |
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