MISS Paris Davette Jackson, LPCP, NCC
NPI #1881921088 in Belleville, Illinois
Provider Information
- NPI Number
- 1881921088
- Entity Type
- Individual
- Name
- MISS Paris Davette Jackson, LPCP, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPCP, NCC
- Enumeration Date
- Nov 9, 2009
- Last Updated
- Jan 21, 2020
Practice Location
- Address
- 1663 HARTMAN LN APT 9
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-6842
- Phone
- (618) 257-8809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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