LARRY V JACKSON

DES MOINES, IA
NPI1093169062
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  001738)
Enumeration Date2016-04-15
Last Update Date2023-12-28
Business Address
LARRY V JACKSON LMHC
1111 UNIVERSITY AVE
DES MOINES, IA 50314-2329
Phone number: 515-697-7982
Mailing Address
LARRY V JACKSON LMHC
121 E LANE ST TRLR 2
WINTERSET, IA 50273-1772
Phone number: 563-447-7344
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