MS. Gretchen D Jackson, LCPC

NPI #1780822734 in East Alton, Illinois

Provider Information

NPI Number: 1780822734
Entity Type: Individual
Name: MS. Gretchen D Jackson, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Jan 29, 2009
Last Updated: Jan 29, 2009

Practice Location

Address: 2 TERMINAL DR
Address 2: SUITE 8
City: East Alton
State: Illinois
ZIP Code: 62024-2201
Phone: (618) 258-0485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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