| Cathy Jackson Sharper Clarity, P.c. | |
|
1820 Ridge Rd Suite 200 Homewood IL 60430-1760 | |
| (708) 966-6091 | |
| Not Available |
| Full Name | Cathy Jackson Sharper Clarity, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1820 Ridge Rd, Homewood, Illinois |
| Authorized Official Name and Position | Cathy Gail Jackson (CLINICAL THERAPIST) |
| Authorized Official Contact | 7089666091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathy Jackson Sharper Clarity, P.c. 1820 Ridge Rd Suite 200 Homewood IL 60430-1760 Ph: (708) 966-6091 | Cathy Jackson Sharper Clarity, P.c. 1820 Ridge Rd Suite 200 Homewood IL 60430-1760 Ph: (708) 966-6091 |
| NPI Number | 1467834564 |
|---|---|
| Provider Enumeration Date | 06/24/2015 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 9234580473 |
|---|---|
| Medicare Enrollment ID | O20240111003402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467834564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 180006774 (Illinois) | Primary |
| Provider Name | Cathy Gail Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265761324 PECOS PAC ID: 0143671388 Enrollment ID: I20240111003492 |
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