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Michael K Jackson, MASTERS
Adolescent and Children Mental Health Clinic/Center in Eldorado, Illinois
NPI 1669236477

Michael K Jackson is an Adolescent and Children Mental Health Clinic/Center based in Eldorado, IL and is specialized in Adolescent and Children Mental Health. Michael K Jackson practices in Eldorado, IL and has the professional credentials of MASTERS. The NPI Number for Michael K Jackson is 1669236477 and holds a License No. (Illinois).

The current practice location address for Michael K Jackson is 1200 Locust St, Eldorado, IL and can be reached out via phone at 618-252-9036.

Location: 1200 Locust St, Eldorado, IL, 62930-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669236477
Provider Name
Michael K Jackson
Credential
MASTERS
Provider Entity Type
Individual
Gender
Male
Address
1200 Locust St, Eldorado, IL, 62930-1723
Phone Number
618-252-9036
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1200 Locust St
City
Eldorado
State
Illinois
Zip
62930-1723
Phone Number
618-252-9036
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Locust St
City
Eldorado
State
Illinois
Zip
62930-1723
Phone Number
618-252-9036
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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