Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTOINE DESHAWN JACKSON, MA, LPCC
Active Sole ProprietorANTOINE DESHAWN JACKSON, MA, LPCC is a Mental Health Counselor healthcare provider located in ROSEVILLE, Minnesota. NPI 1174278048 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ROSEVILLE, MN
Registration Details
- NPI Number
- 1174278048
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 18, 2022 (4.453930485906 yrs)
- Last Updated
- Nov 14, 2024
- License
-
3145 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2335 WOODBRIDGE ST APT 338ROSEVILLE, MN, 551134763Browse MN providers · Browse ZIP 55113
- Phone
- 6127154071
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. ALEXIS GREEVES | LPCC | 1639387905 |
| THOMAS FRANCIS HOWLEY | — | 1588999023 |
| ERIN MADONNA SCHMIDT | — | 1578855888 |
| LISA HARPER | — | 1689041543 |
| BEVERLY STRATTON | MA, THD | 1598139727 |
| MRS. LISA CHONG ROSE | LPCC | 1750748422 |
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.