Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY ELISABETH JACKSON, LCPC
Active Sole ProprietorMS. MARY ELISABETH JACKSON, LCPC is a Counselor healthcare provider located in CARBONDALE, Indiana. NPI 1437456522 is currently active in the NPPES registry. Verify at CMS.
Counselor · CARBONDALE, IN
Registration Details
- NPI Number
- 1437456522
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 25, 2011 (15.425787341294 yrs)
- Last Updated
- Feb 25, 2011
- License
-
180.007729 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
804 SOUTH OAKLAND AVECARBONDALE, IN, 62901Browse IN providers · Browse ZIP 62901
- Phone
- 6182033975
- Fax
- 6185292182
- Primary Specialty
-
Counselor
101Y00000X
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.