| NPI | 1902069214 |
|---|---|
| Professional Name | REBECCA JO JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 17497) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8204) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2024-09-09 |