| Ms Gretchen D Jackson, LCPC | |
|
2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 | |
| (618) 258-0485 | |
| (618) 258-4815 |
| Full Name | Ms Gretchen D Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2 Terminal Dr, East Alton, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780822734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 018-006325 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Gretchen D Jackson, LCPC 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 Ph: (618) 258-0485 | Ms Gretchen D Jackson, LCPC 2 Terminal Dr, Suite 8, East Alton, IL 62024-2201 Ph: (618) 258-0485 |
Eric Royal, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-259-0705 | |
Tania Evans, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 N Shamrock St, East Alton, IL 62024 Phone: 618-258-0021 | |
Sharon Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-259-0705 Fax: 618-462-2504 | |
Nakeia Jackosn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-462-2331 Fax: 618-462-2504 | |
Kelly Dorris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 645 Berkshire Blvd, East Alton, IL 62024 Phone: 618-258-8750 Fax: 618-258-8751 | |
Callista Poiter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-462-2331 Fax: 618-462-2504 |