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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA KATHRYN JACKSON, LPCC

Active Sole Proprietor

LISA KATHRYN JACKSON, LPCC is a Professional Counselor healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1063548709 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · ALBUQUERQUE, NM

Registration Details

NPI Number
1063548709
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2007 (19.445719815392 yrs)
Last Updated
Jan 21, 2021
License
0124141 (NM)
Sole Proprietor
Yes

Practice Information

Address
3025 FLORIDA ST NE
ALBUQUERQUE, NM, 871102614
Browse NM providers · Browse ZIP 87110
Phone
5054176744
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in ALBUQUERQUE, NM

Name Credential NPI
MR. CHRISTOPHER PATRICK SANGER I L.P.C.C. 1760481543
MR. SHAWN MICHAEL CRAWFORD M.A., L.P.C.C. 1629066865
MS. PATRICIA MARI HENNESSEY LPCC 1114916566
DR. KENNETH WAYNE LOVELETT JR. LPCC 1447249644
MS. NAN DENICE WEE LPCC LADAC 1225019250
LOUIS WILSON 1144201633
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.