Cheyenne Jackson, BS

NPI #1154904209 in Mattoon, Illinois

Provider Information

NPI Number: 1154904209
Entity Type: Individual
Name: Cheyenne Jackson, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BS
Enumeration Date: May 5, 2021
Last Updated: May 5, 2021

Practice Location

Address: 750 BROADWAY AVE E
City: Mattoon
State: Illinois
ZIP Code: 61938-4610
Phone: (217) 238-5735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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