person
Edna Elizabeth Jackson, MA
Addiction (Substance Use Disorder) Counselor in Saint Louis, Missouri
NPI 1265819213

Edna Elizabeth Jackson is an Addiction (Substance Use Disorder) Counselor based in Saint Louis, MO and is specialized in Addiction (Substance Use Disorder). Edna Elizabeth Jackson practices in Saint Louis, MO and has the professional credentials of MA. The NPI Number for Edna Elizabeth Jackson is 1265819213 and holds a License No. (Missouri).

The current practice location address for Edna Elizabeth Jackson is 1430 Olive St Ste 400, Saint Louis, MO and can be reached out via phone at 314-206-3700.

Location: 1430 Olive St Ste 400, Saint Louis, MO, 63103-2303
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Provider Profile Details
NPI Number
1265819213
Provider Name
Edna Elizabeth Jackson
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1430 Olive St Ste 400, Saint Louis, MO, 63103-2303
Phone Number
314-206-3700
Fax Number
Provider Enumeration Date
04/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
630 01 MO CRADC
institution
Provider Business Practice Location Address Details
Address
1430 Olive St Ste 400
City
State
Zip
63103-2303
Phone Number
314-206-3700
Fax Number
person
Provider Business Mailing Address Details
Address
1430 Olive St Ste 400
City
State
Zip
63103-2303
Phone Number
314-206-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
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