PAMELA ANN JACKSON CRADC NPI 1265948194

NPI Information

NPI: 1265948194
Provider Name: PAMELA ANN JACKSON, CRADC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
106 S INDEPENDENCE ST
HARRISONVILLE, MO
ZIP 64701
Phone: (816) 813-7533
Get Directions

Pamela Ann Jackson, CRADC is a counselor in Harrisonville, MO. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Pamela Ann Jackson, CRADC NPI is 1265948194. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

106 S INDEPENDENCE ST
HARRISONVILLE, MO
ZIP 64701-348
Phone: (816) 813-7533
Fax: (816) 813-7533

The enumeration date for this NPI number is 12/14/2017 and was last updated on 6/16/2018.

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	101Y00000X	Counselor		7780	MISSOURI	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	9827	MISSOURI	No
3	106H00000X	Marriage & Family Therapist				No

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »