| Grace E. Jackson, Md, Pllc | |
|
115 S Candy Ln Ste C2 Cottonwood AZ 86326-4188 | |
| (928) 649-6736 | |
| Not Available |
| Full Name | Grace E. Jackson, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 115 S Candy Ln Ste C2, Cottonwood, Arizona |
| Authorized Official Name and Position | Grace E Jackson (CEO) |
| Authorized Official Contact | 9286496736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace E. Jackson, Md, Pllc 115 S Candy Ln Ste C2 Cottonwood AZ 86326-4188 Ph: (928) 649-6736 | Grace E. Jackson, Md, Pllc 115 S Candy Ln Ste C2 Cottonwood AZ 86326-4188 Ph: (928) 649-6736 |
| NPI Number | 1568863322 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568863322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 46710 (Arizona) | Primary |
Verde Valley Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-779-3366 | |
Spectrum Healthcare Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 928-634-2236 Fax: 928-634-8960 | |
Debra Logan Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 S Main St Ste D, Cottonwood, AZ 86326 Phone: 928-202-9054 | |
Red Rock Family Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 707 E Mingus Ave Ste 400, Cottonwood, AZ 86326 Phone: 928-649-0447 Fax: 928-350-6417 | |
Sedona Equine Assisted Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Cove Pkwy, Cottonwood, AZ 86326 Phone: 928-254-0113 | |
White Pearl Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Cove Pkwy, Suite C, Cottonwood, AZ 86326 Phone: 928-284-8675 | |
Donald J Curran Do Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Calvary Way, Suite B, Cottonwood, AZ 86326 Phone: 843-651-2624 Fax: 843-491-4023 |