National Provider Identifier Database

MARY E JACKSON, LCPC – NPI #1437456522
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

MARY E JACKSON, LCPC
804 SOUTH OAKLAND AVE
CARBONDALE, IN62901
Phone: 618-203-3975
Fax: 618-529-2182
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for MARY E JACKSON

NPI Number 1437456522
Credentials LCPC (Licensed Clinical Professional Counselor)
Entity Individual
Enumeration date 02/25/2011
Last updated 02/25/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 180.007729
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MARY E JACKSON, LCPC

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