CASIEL DOMINIQUE JACKSON LAC
NPI 1487373130
Counselor - Mental Health in Mesa, AZ
About Casiel Dominique Jackson Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASIEL DOMINIQUE JACKSON LAC (NPI 1487373130) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LAC-7258T) and active in the NPI registry since August 2022.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Casiel Jackson's NPI number?
The NPI number for Casiel Jackson is 1487373130. It was assigned to this individual provider in the NPPES registry on August 25, 2022.
Where is Casiel Jackson located?
Casiel Jackson practices at 1705 W Main St, Mesa, AZ 85201. The listed phone number is (877) 809-5092.
What is Casiel Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Casiel Jackson was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Casiel Dominique Jackson, LAC · NPI 1487373130
Mental Health provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since August 25, 2022.
## Identity
- **NPI:** 1487373130 (Entity type: Individual)
- **Enumerated:** August 25, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LAC-7258T (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1705 W MAIN ST, Mesa, AZ 85201-6920
- **Phone:** (877) 809-5092
## Record status
- **NPPES last updated:** August 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487373130) · Data from the CMS NPPES public registry.