MS. DIANA SUE JACKSON LMHC CADC NPI 1902352412

NPI Information

NPI: 1902352412
Provider Name: MS. DIANA SUE JACKSON, LMHC, CADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1744 2ND AVE SE
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 366-4673
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MS. Diana Sue Jackson, LMHC, CADC is a mental health counselor in Cedar Rapids, IA. MS. Diana Sue Jackson, LMHC, CADC NPI is 1902352412. 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:

1744 2ND AVE SE
CEDAR RAPIDS, IA
ZIP 52403-306
Phone: (319) 366-4673

The enumeration date for this NPI number is 8/25/2016 and was last updated on 5/1/2019.

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)	14116	IOWA	No
2	101YM0800X	Counselor	Mental Health	079713	IOWA	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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