Search › Minnesota › 1041C0700X
Richard Jackson, LICSW
NPI 1629520770 · on the registry since 2016 · sole proprietor
Practice
- Address
- 201 W Laurel St
Brainerd, MN 56401 - Phone
- (218) 454-3844
- Fax
- (218) 454-3844
- Clinicians at this address
- 2
Additional practice sites
- 201 W Laurel St, Brainerd, MN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-12
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 Minnesota