Individual provider · Type 1 NPI
Gretchen Jackson
Developmental Therapist · Glenwood, IL
Practice location
120 S Rebecca St
Glenwood, IL 60425-1622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
Other developmental therapist providers in Glenwood
About NPI 1336067321
Gretchen Jackson's National Provider Identifier is 1336067321, issued on Jul 7, 2026. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Glenwood, IL. The record was last updated on Jul 7, 2026.