Antoinette Rosa Jackson (aziz), LPC is a professional counselor in Philadelphia, PA. Antoinette Rosa Jackson (aziz), LPC NPI is 1700439171. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
6122 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128-603
Phone: (215) 487-1330
The enumeration date for this NPI number is 7/24/2019 and was last updated on 7/24/2019.