IndividualActive
Jacob Jackson, PHD, LMHC, CADC
NPI 1003366329 · Mental Health Counselor · Le Mars, IA
Provider details
- NPI number
- 1003366329
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, LMHC, CADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15081 (IA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
180 10th St Se Ste 201
Le Mars, IA 51031-2557
Phone: (712) 546-4624
Fax: (712) 546-9395
Approximate (ZIP-level) locationGet directions
Mailing address
180 10th St Se
Le Mars, IA 51031-2559
Registry dates
- Enumerated
- 2016-10-11
- Last updated
- 2023-11-06
- Certified
- 2023-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.