Terry Lewis Jackson, LCPC Valid NPI

Individual provider · Professional Counselor · Pinckneyville, IL

NPI

1811067606

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

Sex

Male

Sole proprietor

No

Enumerated

2006-11-08

Last updated

2007-07-08