Shelby Renee Jackson
NPI #1285363614 in Charleston, Illinois
Provider Information
- NPI Number
- 1285363614
- Entity Type
- Individual
- Name
- Shelby Renee Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 9, 2022
- Last Updated
- Jun 13, 2022
Practice Location
- Address
- 1836 VICTORIA LN
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2964
- Phone
- (217) 508-8080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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