MARY JACKSON LPC TLAC NPI 1184009367

NPI Information

NPI: 1184009367
Provider Name: MARY JACKSON, LPC, TLAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1201 WAKARUSA DR
STE E222
LAWRENCE, KS
ZIP 66049
Phone: (785) 843-5483
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Mary Jackson, LPC, TLAC is a mental health counselor in Lawrence, KS. Mary Jackson, LPC, TLAC NPI is 1184009367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201 WAKARUSA DR
STE E222
LAWRENCE, KS
ZIP 66049-882
Phone: (785) 843-5483
Fax: (785) 841-5433

The enumeration date for this NPI number is 7/29/2015 and was last updated on 3/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0730	KANSAS	No
2	101YM0800X	Counselor	Mental Health	2738	KANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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