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

STACY HARKINS JACKSON, LICSW

Active Sole Proprietor

Mental Health Counselor · ANNISTON, AL

Registration Details

NPI Number
1942868013
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2019 (6.9139909486865 yrs)
Last Updated
Jun 3, 2019
License
4288C (AL)
Sole Proprietor
Yes

Practice Information

Address
1812 WILMER AVE STE A
ANNISTON, AL, 362013830
Browse AL providers · Browse ZIP 36201
Phone
2566247045
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in ANNISTON, AL

Name Credential NPI
ROXANA CONROY LPC 1952301913
JAMIE PRUITT LPC 1841291663
RICHARD YATES LPC 1366443038
MR. MICHAEL RAY STUCKEY MS LPC 1700989373
MS. JUDITH F JOHNSON LPC,MS,NBCCH,NCC 1194895797
MS. CHRISTINE VANEK 1497823983
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.