person
Terry Lewis Jackson, LCPC
Professional Counselor in Pinckneyville, Illinois
NPI 1811067606

Terry Lewis Jackson is a Professional Counselor based in Pinckneyville, IL and is specialized in Professional. Terry Lewis Jackson practices in Pinckneyville, IL and has the professional credentials of LCPC. The NPI Number for Terry Lewis Jackson is 1811067606 and holds a License No. (Illinois).

The current practice location address for Terry Lewis Jackson is 17 W Water St, Pinckneyville, IL and can be reached out via phone at 618-357-3396 and via fax at 618-357-3396.

Location: 17 W Water St, Pinckneyville, IL, 62274-1027
person
Provider Profile Details
NPI Number
1811067606
Provider Name
Terry Lewis Jackson
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
17 W Water St, Pinckneyville, IL, 62274-1027
Phone Number
618-357-3396
Fax Number
618-357-3396
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17 W Water St
City
State
Zip
62274-1027
Phone Number
618-357-3396
Fax Number
618-357-3396
person
Provider Business Mailing Address Details
Address
17 W Water St
City
State
Zip
62274-1027
Phone Number
618-357-3396
Fax Number
618-357-3396
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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