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NPI Profile for JANET E JACKSON in GARDENDALE, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counselor |
101Y00000X |
| NPI Number | 1124015284 |
|
| Status | Active | |
| Credentials | M.ED., SLPC | |
| Entity | Individual | |
| Enumeration date | 10/04/2005 | |
| Last updated | 03/21/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JANET E JACKSON
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JANET E JACKSON, M.ED., SLPC