Adam J Jackson
NPI #1497346696 in Carterville, Illinois
Provider Information
- NPI Number
- 1497346696
- Entity Type
- Individual
- Name
- Adam J Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 30, 2021
- Last Updated
- Jan 30, 2021
Practice Location
- Address
- 209 W COMMERCIAL DR STE H
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-2057
- Phone
- (618) 351-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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