Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACI LYN JACKSON, LMFT
Active Sole ProprietorSTACI LYN JACKSON, LMFT is a Marriage & Family Therapist healthcare provider located in LEICESTER, Massachusetts. NPI 1174246060 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · LEICESTER, MA
Registration Details
- NPI Number
- 1174246060
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2022 (3.8619067267783 yrs)
- Last Updated
- Aug 12, 2025
- License
-
1836 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1136 MAIN STLEICESTER, MA, 015241349Browse MA providers · Browse ZIP 01524
- Phone
- 6072076681
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
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.