Rickie Frederick Jackson, M.S. ED., LPC, CADC Valid NPI

Individual provider · Counselor · Butler, PA

NPI

1649583279

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

License number

PC005527 (PA)

Sex

Male

Sole proprietor

Yes

Enumerated

2010-07-24

Last updated

2017-05-03