| Jessica Jackson, | |
|
1532 Northfield Meadows Blvd Apt 4, Bourbonnais, IL 60914-4833 | |
| (773) 313-5556 | |
| Not Available |
| Full Name | Jessica Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1532 Northfield Meadows Blvd Apt 4, Bourbonnais, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932974102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.019460 (Illinois) | Primary |
| Entity Name | Blue Moon Senior Counseling Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841562931 PECOS PAC ID: 7012172893 Enrollment ID: O20120628000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Jackson, 1532 Northfield Meadows Blvd Apt 4, Bourbonnais, IL 60914-4833 Ph: (773) 313-5556 | Jessica Jackson, 1532 Northfield Meadows Blvd Apt 4, Bourbonnais, IL 60914-4833 Ph: (773) 313-5556 |
Megan K Bucklin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 197 W. Harrison Street, Suite 2, Bourbonnais, IL 60914 Phone: 815-935-5540 Fax: 815-935-5459 | |
Ms. Daphne Lynn Bogenschneider, LCPC, LSOTP, LSOE Counselor Medicare: Not Enrolled in Medicare Practice Location: 183 E Bethel Dr, Keystone Counseling, Bourbonnais, IL 60914 Phone: 815-939-1900 Fax: 815-939-1902 | |
Ms. Sheryl Ann Palinski, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 S Main St, Bourbonnais, IL 60914 Phone: 815-939-1912 Fax: 815-936-9666 | |
Ms. Toni Vanessa Sutton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Brown Blvd, Bourbonnais, IL 60914 Phone: 815-214-9766 | |
Kristina Marie Billadeau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1137 E 5000n Rd, Bourbonnais, IL 60914 Phone: 815-216-9025 | |
Mrs. Joy Ann Weber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Revere St, Bourbonnais, IL 60914 Phone: 815-936-6266 Fax: 815-936-7606 | |
Thomas Showers, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Heritage Dr Ste 208, Bourbonnais, IL 60914 Phone: 708-265-7809 |