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1356695183
JACKSON T DOUGLAS
SPRINGFIELD, MO
NPI
1356695183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2014040178)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-10-31
Last Update Date
2022-08-22
Business Address
JACKSON T DOUGLAS LPC
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
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Mailing Address
JACKSON T DOUGLAS LPC
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
Copy
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