Individual provider · Type 1 NPI

Michael K. Jackson, MASTERS

Adolescent and Children Mental Health Clinic/Center · Eldorado, IL

NPI number 1669236477 Active

About NPI 1669236477

Michael K. Jackson, MASTERS's National Provider Identifier is 1669236477, issued on Feb 12, 2024. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Eldorado, IL. The record was last updated on Feb 12, 2024.