Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Jackson

Individual provider Professional Counselor · NPI 1891342804

Anna Jackson is a Professional Counselor in Philadelphia, Pennsylvania. Licensed in Georgia and Pennsylvania. Registered with an NPI since 2019.

Licensed in
GA, PA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

112 N Broad St
Philadelphia, PA 19102-1512
Phone: (215) 568-0860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC011832 (PA)
Professional Counselor Taxonomy 101YP2500X · Licence LPC014016 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1891342804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2019
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

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