Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB TAGE PEARSON, MS
ActiveJACOB TAGE PEARSON, MS is a Counselor healthcare provider located in CHARLESTON, Illinois. NPI 1871379230 is currently active in the NPPES registry. Verify at CMS.
Counselor · CHARLESTON, IL
Registration Details
- NPI Number
- 1871379230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2023 (2.9233377134002 yrs)
- Last Updated
- Sep 1, 2023
Practice Information
- Address
-
1836 VICTORIA LNCHARLESTON, IL, 619202964Browse IL providers · Browse ZIP 61920
- Phone
- 2175088080
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in CHARLESTON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL WARNER | MS.ED, LCPC, CADC | 1972662351 |
| LINDSAY PAIGE WILSON | LCPC | 1942865696 |
| JOHN H BULTHOUSE JR. | — | 1184210791 |
| ALEXIS DAWN BLACK | — | 1588315113 |
| NORRIANNA BARRON HAYES | — | 1710638234 |
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.