Jackson Therapy

NPI #1164080693 in Urbana, Illinois

Provider Information

NPI Number
1164080693
Entity Type
Organization
Organization Name
Jackson Therapy
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 30, 2019
Last Updated
Mar 30, 2023

Practice Location

Address
404 W GREEN ST
City
Urbana
ZIP Code
61801-3267
Phone
(217) 706-5498

Authorized Official

Name
ANGELA JACKSON, LCSW
Title
OWNER/LEAD THERAPIST
Phone
(217) 840-4090

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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