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

Miss. Takira C. Jackson, LAC

Individual provider Counselor · NPI 1720709140

Miss. Takira C. Jackson, LAC is a Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

14413 S 47th Pl
Phoenix, AZ 85044-6215
Phone: (716) 400-2465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LAC-21216 (AZ)

Record details

NPI number1720709140
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedSeptember 5, 2022
Last updated in NPPESSeptember 5, 2022
Certification dateSeptember 5, 2022

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