Corby Ryan Jackson, LCPC | |
1225 Richards St, Joliet, IL 60433-2745 | |
(708) 768-2144 | |
Not Available |
Full Name | Corby Ryan Jackson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1225 Richards St, Joliet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639530215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.015589 (Illinois) | Primary |
Entity Name | Iatreia Mental Health Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144972860 PECOS PAC ID: 2062886179 Enrollment ID: O20230313000709 |
Mailing Address | Practice Location Address |
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Corby Ryan Jackson, LCPC 1225 Richards St, Joliet, IL 60433-2745 Ph: (708) 768-2144 | Corby Ryan Jackson, LCPC 1225 Richards St, Joliet, IL 60433-2745 Ph: (708) 768-2144 |
Ms. Meghan Marie Garland, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 N 129th Infantry Dr Ste F, Joliet, IL 60435 Phone: 815-823-2876 | |
Lindsay Chrzanowski, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St Ste B, Joliet, IL 60436 Phone: 815-957-4174 Fax: 815-714-6206 | |
Matt Gozner, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Houbolt Rd, Joliet, IL 60431 Phone: 815-263-8209 | |
Kaitlin Jane Ballard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2319 Manhattan Rd, Joliet, IL 60433 Phone: 815-714-8126 | |
Pia Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 742 Essington Rd, Joliet, IL 60435 Phone: 815-220-5632 Fax: 815-373-0099 | |
Juli Dragisic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Essington Rd, Joliet, IL 60435 Phone: 815-729-2160 Fax: 815-373-0099 | |
Rochelle Walwer, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Water Stone Cir, Joliet, IL 60431 Phone: 815-740-4104 |