Jackson T Douglas, LPC is a professional counselor in Springfield, MO. Jackson T Douglas, LPC NPI is 1356695183. 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:
1300 E BRADFORD PKWY
SPRINGFIELD, MO
ZIP 65804-264
Phone: (417) 761-5000
Fax: (417) 761-5111
The NPI 1356695183 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 10/31/2012 and was last updated on 8/22/2022.