Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB JERRY JACKSON, PHD, LMHC, CADC
Active Sole ProprietorDR. JACOB JERRY JACKSON, PHD, LMHC, CADC is a Mental Health Counselor healthcare provider located in LE MARS, Iowa. NPI 1003366329 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LE MARS, IA
Registration Details
- NPI Number
- 1003366329
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2016 (9.8601848916951 yrs)
- Last Updated
- Nov 6, 2023
- License
-
15081 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
180 10TH ST SE STE 201LE MARS, IA, 510312557Browse IA providers · Browse ZIP 51031
- Phone
- 7125464624
- Fax
- 7125469395
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in LE MARS, IA
| Name | Credential | NPI |
|---|---|---|
| KATHERINE JEAN MOIR | MA | 1598731390 |
| MS. KELLEY DICKEY CUDDY | LMHC | 1013243914 |
| DARCI ROBIN PHILIPP GRAVE | — | 1336496389 |
| MRS. JENNIFER L RUDEN | MS, LMHC | 1689924466 |
| FRANCES KONZ | — | 1487076329 |
| STACIE DAILY | LMHC | 1427458645 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.