AMANDA JACKSON
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1023680394- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3406 LAUGHLIN ST, DERBY, KS, 670372309
- Phone
- (316) 789-4116
Specialties & Taxonomies
Counselor, Mental Health
Primary