SHARON MARILYN JACKSON


Address: 3636 Crossings Drive, Prescott, AZ 86305
Phone: 9282731159

SHARON MARILYN JACKSON (NPI# 1649697251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649697251
Entity Type Individual
Full Name SHARON MARILYN JACKSON
Credential LPC
Practice Address 3636 Crossings Drive
Prescott
AZ 86305
Mailing Address Po Box 12412
Prescott
AZ 86304-2412
Practice Telephone 9282731159
Mailing Telephone 9282731159
Enumeration Date 2014-03-20
Last Update Date 2017-02-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LPC14431 AZ Behavioral Health & Social Service Providers

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1184005738 Sharon D Jackson Counselor 8031 West Center Rd Ste 207, Omaha, NE 68124 2015-06-09
1851719298 Sharon Jackson Counselor 1604 S Santa Fe Ave Ste 603, San Jacinto, CA 92583-5062 2014-04-02
1487877387 Sharon K. Jackson Occupational Therapist 9335 Riggs St, Beaumont, TX 77707-1107 2007-04-10
1346311008 Sharon Denise Jackson Nutritionist 1425 Blue Hills Ave, Mattapan Community Health Ctr, Mattapan, MA 02126 2006-11-13
1134200389 Sharon Ruth Jackson Contractor 2100 N. Hwy 360, Suite 1704, Grand Prairie, TX 75050-1062 2006-10-17
1912094335 Sharon L Jackson Pediatrics 2716 Tibbets Dr, Bedford, TX 76022-6915 2006-10-06
1558973164 Sharon Lee Jackson Behavior Technician 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 2020-08-17

Office Location

Street Address 3636 CROSSINGS DRIVE
City PRESCOTT
State AZ
Zip Code 86305

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972005395 Granite View Adult Care Home LLC Assisted Living Facility 7105 Williamson Valley Road, Prescott, AZ 86305 2018-03-01
1215468095 Valerie Williams Occupational Therapist 926 S. Hinman Dr., Prescott, AZ 86305 2017-03-23
1174073837 Caspian Gleam Medical Center LLC Clinic/Center 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 2016-10-06
1114388634 Marla Beth Perkins Speech-Language Pathologist 3160 Stillwater Dr., Prescott, AZ 86305 2016-03-10
1790159853 Michele A. Bibeau, D.d.s. Dentist 1058 Fair Street, Suite A, Prescott, AZ 86305 2015-11-30
1609264837 Integrative Pain Centres of Prescott Pain Medicine 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 2014-12-22
1215351259 Stefanie Maneval Registered Nurse 900 Iron Springs Rd, Prescott, AZ 86305 2014-02-11
1508207523 Recovery In The Pines, LLC Community/Behavioral Health 919 12th Place #13, Prescott, AZ 86305 2013-07-08
1871857359 Neal Herbert Segovia Cabaluna Internal Medicine 3773 Crossings Dr Ste C, Prescott, AZ 86305 2012-06-28
1851667257 Chapter 5 Recovery Community/Behavioral Health 709 W Gurley St, Prescott, AZ 86305 2012-03-29
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063978781 Terence Maguire Pilicy Counselor 812 Valley St Ste 7, Prescott, AZ 86305-1826 2019-02-18
1952875577 Sean James Mcloughlin Counselor 122 N Cortez St Ste 107, Prescott, AZ 86301-3022 2019-01-16
1447725767 Laura Henry Oliver Counselor 711 Seri Dr, Prescott, AZ 86303-7214 2018-10-13
1164923025 Virginia Wenzel Counselor 2063 Meadowbrook Rd, Prescott, AZ 86303-5696 2018-02-26
1518364652 Kathleen Hald Counselor 204 N Mount Vernon Ave, 112 East Merrit Street, Prescott, AZ 86301-3108 2014-12-03
1134543481 R. Smyly Addiction Clinical Services LLC Counselor 819 W Gurley St Unit C, Prescott, AZ 86305-3626 2014-02-06
1134435019 Penny Collins Counselor 332 Circle P Dr, Prescott, AZ 86303-5525 2010-08-30
1699089730 Debbie Ritterbush Counselor 914 E Gurley St Ste 200, Prescott, AZ 86301-3245 2010-07-30
1093961708 Tracey Frederiksen Counselor 2228 Lakewood Dr, Prescott, AZ 86301-4476 2008-08-13
1679747505 Nazcare - New Hope Recovery Center Counselor 599 White Spar Rd, Prescott, AZ 86303-4627 2008-04-22
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Competitor

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City PRESCOTT
Zip Code 86305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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