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MARY JACKSON, LPC-22257
LPC-22257
Professional Counselor
NPI: 1881374684Individual
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
LPC-22257(AZ)
CMS Specialties
PrimaryUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 404 W AERO DR
PAYSON, AZ 85541 - Phone
- (928) 474-3303
Quick Facts
- NPI
- 1881374684
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 11
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