| Jacqueline Davis, | |
|
118 Krause Dr, Jerseyville, IL 62052-3610 | |
| (618) 498-1808 | |
| (618) 462-2504 |
| Full Name | Jacqueline Davis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 118 Krause Dr, Jerseyville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033512405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Davis, 2615 Edwards St, Alton, IL 62002-3915 Ph: (618) 462-2331 | Jacqueline Davis, 118 Krause Dr, Jerseyville, IL 62052-3610 Ph: (618) 498-1808 |
Emily Ahrling Iman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 722 W County Rd Ste E, Jerseyville, IL 62052 Phone: 618-706-1004 | |
Jenna Farmer-brackett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 E County Rd, Jerseyville, IL 62052 Phone: 618-639-2010 Fax: 618-639-2015 | |
Destiny Schmidt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Krause Dr, Jerseyville, IL 62052 Phone: 618-462-2331 Fax: 618-462-2504 | |
Julia L Carroll, M.ED., L.C.P.C Counselor Medicare: Medicare Enrolled Practice Location: 23429 Dogwood Ln, Jerseyville, IL 62052 Phone: 618-363-5411 | |
Amanda Crum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Krause Dr, Jerseyville, IL 62052 Phone: 618-462-2331 Fax: 618-462-2504 | |
Justin Beumer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Krause Dr, Jerseyville, IL 62052 Phone: 618-498-1808 |