DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON THERAPY

Active Organization

JACKSON THERAPY is a Clinical Social Worker organization located in URBANA, Illinois. NPI 1164080693 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · URBANA, IL

Registration Details

NPI Number
1164080693
Provider Type
Organization
NPI Issued
May 30, 2019 (7.1831150608423 yrs)
Last Updated
Mar 30, 2023

Practice Information

Address
404 W GREEN ST
URBANA, IL, 618013267
Browse IL providers · Browse ZIP 61801
Phone
2177065498
Fax
2177065779
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.