MRS. Charlotte Consuelo Jackson
NPI #1144941386 in Rock Island, Illinois
Provider Information
- NPI Number
- 1144941386
- Entity Type
- Individual
- Name
- MRS. Charlotte Consuelo Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 6, 2022
- Last Updated
- May 14, 2025
Practice Location
- Address
- 2701 17TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-5351
- Phone
- (309) 779-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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