Kellie Jackson
Kellie Jackson is a Mental Health Counselor in Audubon, Pennsylvania. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
837 Mourning Dove RdAudubon, PA 19403-1820
Phone: (610) 716-6412
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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 | 1447911565 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 2, 2022 |
| Last updated in NPPES | January 2, 2022 |
| Certification date | January 2, 2022 |
| Mailing address | 846 W Lancaster Ave, Bryn Mawr, PA 19010-3224 |
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