Jackson Behavioral Health Services LLC

NPI #1063046498 in Richton Park, Illinois

Provider Information

NPI Number: 1063046498
Entity Type: Organization
Organization Name: Jackson Behavioral Health Services LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 25, 2020
Last Updated: Feb 25, 2020

Practice Location

Address: 4137 SAUK TRL STE 146
City: Richton Park
State: Illinois
ZIP Code: 60471-1253
Phone: (708) 983-8074

Authorized Official

Name: ADDISON JACKSON JR., LCSW
Title: DIRECTOR
Phone: (708) 983-8074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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