Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEIRDRE RENEE' JACKSON, PHD LCMHCS LPC NCC
Active Sole ProprietorDR. DEIRDRE RENEE' JACKSON, PHD LCMHCS LPC NCC is a Professional Counselor healthcare provider located in CLARKSVILLE, Tennessee. NPI 1215343009 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1215343009
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2014 (12.102869321926 yrs)
- Last Updated
- Jul 20, 2022
- Licenses
-
S12958 (NC)1744 (TN)77544 (TX)5911 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1059 SPICER DRCLARKSVILLE, TN, 370422120Browse TN providers · Browse ZIP 37042
- Phone
- 6154735152
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in CLARKSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MR. JUSTIN M. MICKLES | MS | 1649266388 |
| MISS MICHELLE C DEMARSILIS | LCSW | 1598784852 |
| KAREN E. FREEMAN | LPC-MHSP | 1235242108 |
| MRS. ANITA RANDOLPH | LPS/MHSP | 1306974357 |
| BEGUM YASMIN SARWAR | — | 1033247739 |
| MRS. STACEY COULTER | LPE | 1336277003 |
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.