Individual provider · Type 1 NPI

Jacqueline Juanita Madison, DMIN, MA, CAPS, LPC

Pastoral Counselor · St. Louis, MO

NPI number 1972040210 Active

Practice location

5655 Kingsbury Ave Apt 909
St. Louis, MO 63112-1874

Mailing address

5343 Belleville Crossing St # 2079
Belleville, IL 62226-3108

Other practice locations

  • 2 Agnes Dr, Cahokia, IL 62206-2714 · (314) 201-5908

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800X178.012744 (IL)
Pastoral Counselor 101YP1600XNone listed
Health & Wellness Coach 171400000XNone listed
Health & Wellness Coach 171400000X1090
Pastoral Counselor Primary 101YP1600XNone listed

Pastoral Counselor: Definition to come...

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About NPI 1972040210

Jacqueline Juanita Madison, DMIN, MA, CAPS, LPC's National Provider Identifier is 1972040210, issued on Jan 25, 2017. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in St. Louis, MO. The record was last updated on May 22, 2023.