Ms Mary Elisabeth Jackson, LCPC is a
Counselor based in Carbondale, Indiana. Ms Mary Elisabeth Jackson is licensed to practice in Illinois (license number 180.007729) and her current practice location is
804 South Oakland Ave, Carbondale, Indiana. She can be reached at her office (for appointments etc.) via phone at
(618) 203-3975.
NPI number for Ms Mary Elisabeth Jackson is 1437456522 and her current mailing address is 804 S Oakland Ave, Carbondale, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437456522.
Healthcare Provider's Profile
Full Name | Ms Mary Elisabeth Jackson |
---|
Gender | Female |
---|
Speciality | Counselor |
---|
Location | 804 South Oakland Ave, Carbondale, Indiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437456522
- Provider Enumeration Date: 02/25/2011
- Last Update Date: 02/25/2011
Medical Identifiers
Medical identifiers for Ms Mary Elisabeth Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437456522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 180.007729 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Elisabeth Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Mary Elisabeth Jackson, LCPC 804 S Oakland Ave, Carbondale, IL 62901-2555 Ph: (618) 203-3975 | Ms Mary Elisabeth Jackson, LCPC 804 South Oakland Ave, Carbondale, IN 62901 Ph: (618) 203-3975 |
Reviews and Comments