TIFFANY JACKSON

LEES SUMMIT, MO
NPI1992101752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A1308078)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: MO  2021012242)
101YM0800X Counselor, Mental Health
(Licence: AR  P1607095)
Enumeration Date2014-11-06
Last Update Date2021-11-02
Business Address
TIFFANY JACKSON LPC
312 SW GREENWICH DR STE 579
LEES SUMMIT, MO 64082-4408
Phone number: 870-413-6905
Mailing Address
TIFFANY JACKSON LPC
312 SW GREENWICH DR STE 579
LEES SUMMIT, MO 64082-4408
Phone number: 870-413-6905