Individual provider · Type 1 NPI
Terry Lewis Jackson, LCPC
Professional Counselor · Pinckneyville, IL
NPI number
1811067606
Active
Practice location
17 W Water St
Pinckneyville, IL 62274-1027
Fax (618) 357-3396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Pinckneyville
About NPI 1811067606
Terry Lewis Jackson, LCPC's National Provider Identifier is 1811067606, issued on Nov 8, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pinckneyville, IL. The record was last updated on Jul 8, 2007.