Gretchen D Jackson, LCPC Valid NPI

Individual provider · Professional Counselor · East Alton, IL

NPI

1780822734

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

018-006325 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2009-01-29

Last updated

2009-01-29