person
Shelby Renee Jackson
Mental Health Counselor in Charleston, Illinois
NPI 1285363614

Shelby Renee Jackson is a Mental Health Counselor based in Charleston, IL and is specialized in Mental Health. Shelby Renee Jackson practices in Charleston, IL. The NPI Number for Shelby Renee Jackson is 1285363614 and holds a License No. (Illinois).

The current practice location address for Shelby Renee Jackson is 1836 Victoria Ln, Charleston, IL and can be reached out via phone at 217-508-8080 and via fax at 217-512-2288.

Location: 1836 Victoria Ln, Charleston, IL, 61920-2964
person
Provider Profile Details
NPI Number
1285363614
Provider Name
Shelby Renee Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1836 Victoria Ln, Charleston, IL, 61920-2964
Phone Number
217-508-8080
Fax Number
217-512-2288
Provider Enumeration Date
06/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1836 Victoria Ln
City
State
Zip
61920-2964
Phone Number
217-508-8080
Fax Number
217-512-2288
person
Provider Business Mailing Address Details
Address
1836 Victoria Ln
City
State
Zip
61920-2964
Phone Number
217-508-8080
Fax Number
217-512-2288
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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