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Search › Pennsylvania › 1041C0700X

Michelle Jackson, LCSW

NPI 1669798112 · on the registry since 2010

Practice

Address
4025 Chestnut St Fl 1
Philadelphia, PA 19104
Phone
(215) 382-6680
Fax
(215) 386-1743
Organisation at this address
Elwyn
Council For Relationships
Council For Relationships
Council For Relationships
Elwyn Of Pennsylvania And Delaware
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-04-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania