Vanessa Jackson M.S.

NPI 1063812451 - Counselor - 101YM0800X

NPI Details
NPI 1063812451
Gender Female
Enumeration Date 09/04/2014
Last Updated 09/04/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
4800 PINE ST APT A102
PHILA PA, 19143-1749, US
Phone (267) 819-9706
Fax
Business Location
4800 PINE ST APT A102
PHILA PA, 19143-1749, US
Phone (267) 819-9706
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Pennsylvania
License Number BH001472
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According to our database, Vanessa Jackson M.S. NPI is 1063812451, taxonomy code is 101YM0800X and license number is BH001472, license state is located at Pennsylvania. Vanessa Jackson M.S. physically located at 4800 Pine St Apt A102, Phila PA, 19143-1749. NPI Number Vanessa Jackson M.S. has the Individual type.

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1063812451 NPI number is provided on an as is basis without warranty of any kind. 1063812451 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Jackson M.S. are for informational purposes only.