Terry Lewis Jackson, LCPC | |
17 W Water St, Pinckneyville, IL 62274-1027 | |
(618) 357-3396 | |
(618) 357-3396 |
Full Name | Terry Lewis Jackson |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 17 W Water St, Pinckneyville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811067606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Terry Lewis Jackson, LCPC 17 W Water St, Pinckneyville, IL 62274-1027 Ph: (618) 357-3396 | Terry Lewis Jackson, LCPC 17 W Water St, Pinckneyville, IL 62274-1027 Ph: (618) 357-3396 |
Mrs. Lisa Louise Wild, M.S.E.D, M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 S Walnut St, Pinckneyville, IL 62274 Phone: 618-357-1407 | |
Dawn M Galbraith, CLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 S Main St, Pinckneyville, IL 62274 Phone: 618-357-5371 Fax: 618-357-3190 |