Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELBY RENEE JACKSON
ActiveSHELBY RENEE JACKSON is a Mental Health Counselor healthcare provider located in CHARLESTON, Illinois. NPI 1285363614 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CHARLESTON, IL
Registration Details
- NPI Number
- 1285363614
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2022 (4.1513429680631 yrs)
- Last Updated
- Jun 13, 2022
Practice Information
- Address
-
1836 VICTORIA LNCHARLESTON, IL, 619202964Browse IL providers · Browse ZIP 61920
- Phone
- 2175088080
- Fax
- 2175122288
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in CHARLESTON, IL
| Name | Credential | NPI |
|---|---|---|
| DAVID C. HUNTER | MA, LCPC | 1912981390 |
| LINDA MOORE | QMHP | 1629567052 |
| DENNIS PEARSON | LPC, CADC | 1891280970 |
| WADE M STARK | — | 1801430988 |
| CHUCK L MASON | BS | 1417694498 |
| MICHAEL PARRISH DELLINGER | MHP | 1083344642 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.