Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS TAKIRA C. JACKSON, LAC
Active Sole ProprietorMISS TAKIRA C. JACKSON, LAC is a Counselor healthcare provider located in PHOENIX, Arizona. NPI 1720709140 is currently active in the NPPES registry. Verify at CMS.
Counselor · PHOENIX, AZ
Registration Details
- NPI Number
- 1720709140
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2022 (3.9461151553411 yrs)
- Last Updated
- Sep 5, 2022
- License
-
LAC-21216 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14413 S 47TH PLPHOENIX, AZ, 850446215Browse AZ providers · Browse ZIP 85044
- Phone
- 7164002465
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| JASON FIERSTEIN | LPC | 1225097553 |
| TOM KIRSCH | LPC | 1689634917 |
| WILLIAM ROSENFELD | L.P.C. | 1306806633 |
| FRANCES ARAGON | LCSW | 1649230616 |
| MAYRA LORENA JIRAK | LPC | 1043272164 |
| SHAWN TURLEY | LPC | 1568424307 |
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.