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

AMANI AYISHA JACKSON

Active

AMANI AYISHA JACKSON is a Professional Counselor healthcare provider located in FAIRBANKS, Alaska. NPI 1639742158 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · FAIRBANKS, AK

Registration Details

NPI Number
1639742158
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2021 (5.0503700981416 yrs)
Last Updated
May 9, 2024
License
222527 (AK)

Practice Information

Address
1825 MARIKA RD
FAIRBANKS, AK, 997095521
Browse AK providers · Browse ZIP 99709
Phone
9074740890
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Community Health Worker

Other Professional Counselor Providers in FAIRBANKS, AK

Name Credential NPI
JONI SIMPSON M. ED., L. P. C. 1720052137
KRISTEN NICOLE BARTON LPC 1598725095
KARIN GILLIS M.ED., LPC 1174546519
KERRY TURNBOW LPC 1194808931
TERRY KELLY LPC 1053494898
MARDELL DICKINSON LPC 1689757429
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.