Reginald Jackson
Reginald Jackson is a Mental Health Counselor in Manchester, Connecticut. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
587 Middle Tpke EManchester, CT 06040-3731
Phone: (860) 646-3888
Fax: (860) 645-4132
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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 | 1932517695 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 25, 2014 |
| Last updated in NPPES | July 25, 2014 |
| Mailing address | 587 Middle Tpke E, Manchester, CT 06040-3731 |
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