DR. Jacob Jerry Jackson, PHD, LMHC, CADC is a mental health counselor in Le Mars, IA. DR. Jacob Jerry Jackson, PHD, LMHC, CADC NPI is 1003366329. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
180 10TH ST SE STE 201
LE MARS, IA
ZIP 51031-557
Phone: (712) 546-4624
Fax: (712) 546-9395
The NPI 1003366329 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 10/11/2016 and was last updated on 11/6/2023.