NPI 1639415029 · live from the CMS NPI Registry
Adekanla Jackson, MFT
Marriage & Family Therapist in Wilmington, DE. National Provider Identifier 1639415029, active.
NPI record
| NPI | 1639415029 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 811 Brandywine Blvd, Bellefonte Healing Center, Wilmington, DE 19809 |
| Practice phone | 302-932-4390 |
| Enumerated | December 13, 2012 |
| Last updated | June 12, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | FA-0000002 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.