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

Mr. Draevon Edward Jackson

Individual provider Mental Health Counselor · NPI 1164387072

Mr. Draevon Edward Jackson is a Mental Health Counselor in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

3777 Priority Way South Dr
Indianapolis, IN 46240-1491
Phone: (317) 574-3980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 99133860A (IN)

Record details

NPI number1164387072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

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