Terry Lewis Jackson, LCPC is a
Counselor - Professional based in Pinckneyville, Illinois. Terry Lewis Jackson is licensed to practice in Illinois (license number ) and his current practice location is
17 W Water St, Pinckneyville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 357-3396.
NPI number for Terry Lewis Jackson is 1811067606 and his current mailing address is 17 W Water St, Pinckneyville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811067606.
Healthcare Provider's Profile
Full Name | Terry Lewis Jackson |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 17 W Water St, Pinckneyville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811067606
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Terry Lewis Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811067606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (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. Terry Lewis 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 |
Terry Lewis Jackson, LCPC 17 W Water St, Pinckneyville, IL 62274-1027 Ph: (618) 357-3396 | Terry Lewis Jackson, LCPC 17 W Water St, Pinckneyville, IL 62274-1027 Ph: (618) 357-3396 |
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