Terry Lewis Jackson, LCPC
NPI #1811067606 in Pinckneyville, Illinois
Provider Information
- NPI Number
- 1811067606
- Entity Type
- Individual
- Name
- Terry Lewis Jackson, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17 W WATER ST
- City
- Pinckneyville
- State
- Illinois
- ZIP Code
- 62274-1027
- Phone
- (618) 357-3396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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