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Mrs. Charlotte Consuelo Jackson
Mental Health Counselor in Rock Island, Illinois
NPI 1144941386

Charlotte Consuelo Jackson is a Mental Health Counselor based in Rock Island, IL and is specialized in Mental Health. Charlotte Consuelo Jackson practices in Rock Island, IL. The NPI Number for Charlotte Consuelo Jackson is 1144941386 and holds a License No. (Illinois).

The current practice location address for Charlotte Consuelo Jackson is 2701 17Th St, Rock Island, IL and can be reached out via phone at 309-779-2031.

Location: 2701 17Th St, Rock Island, IL, 61201-5351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144941386
Provider Name
Charlotte Consuelo Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2701 17Th St, Rock Island, IL, 61201-5351
Phone Number
309-779-2031
Fax Number
Provider Enumeration Date
09/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2701 17Th St
City
Rock Island
State
Illinois
Zip
61201-5351
Phone Number
309-779-2031
Fax Number
person
Provider Business Mailing Address Details
Address
2701 17Th St
City
Rock Island
State
Illinois
Zip
61201-5351
Phone Number
309-779-2031
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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