Kelly Jackson
Kelly Jackson is a Mental Health Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
112 N Broad StPhiladelphia, 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
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1518274240 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 1, 2010 |
| Last updated in NPPES | September 1, 2010 |
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