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

MS. KIMBERLY JACKOWSKI, LAC

Active Sole Proprietor

MS. KIMBERLY JACKOWSKI, LAC is a Professional Counselor healthcare provider located in MESA, Arizona. NPI 1407444771 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MESA, AZ

Registration Details

NPI Number
1407444771
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2021 (5.4228417378087 yrs)
Last Updated
Jan 4, 2021
License
LAC-16779 (AZ)
Sole Proprietor
Yes

Practice Information

Address
152 N POWER RD STE 2
MESA, AZ, 852058436
Browse AZ providers · Browse ZIP 85205
Phone
4805422525
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Psychoanalyst
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in MESA, AZ

Name Credential NPI
MS. SUE SHEFFIELD STALCUP M.S. 1962495317
MR. DEREK TODD LOFGREEN LPC 1881688919
SHERRY LYNN FORSYTH CARTER MC, LPC 1790771251
MR. MARCO ANTONIO CUYAR MS, LPC, LISAC, NCC 1306832704
MRS. LOURDES M IANNELLO MC, LPC 1942296348
MRS. DORNA SUE MCBRIDE MC., LPC. 1598753121
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.