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JAISSEN JACKSON, LMHC
LMHC
Mental Health Counselor
NPI: 1275074171IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
MHC01094(RI)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 194 WEBSTER AVE
PROVIDENCE, RI 02909 - Phone
- (401) 261-0321
Quick Facts
- NPI
- 1275074171
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 10
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