Individual provider · Type 1 NPI

Edna Elizabeth Jackson, MA

Addiction (Substance Use Disorder) Counselor · St. Louis, MO

NPI number 1265819213 Active

Practice location

1430 Olive St Ste 400
St. Louis, MO 63103-2303

Call (314) 206-3700 Map

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265819213

Edna Elizabeth Jackson, MA's National Provider Identifier is 1265819213, issued on Apr 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Louis, MO. The record was last updated on Jul 28, 2022.