Individual provider · Type 1 NPI
Gretchen D. Jackson, LCPC
Professional Counselor · East Alton, IL
NPI number
1780822734
Active
Practice location
2 Terminal Dr, Suite 8
East Alton, IL 62024-2201
Fax (618) 258-4815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 018-006325 (IL) |
Professional Counselor: Definition to come...
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About NPI 1780822734
Gretchen D. Jackson, LCPC's National Provider Identifier is 1780822734, issued on Jan 29, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in East Alton, IL. The record was last updated on Jan 29, 2009.