Karen Ann Jackson in Woodridge - Addiction (substance Use Disorder)

Karen Ann Jackson - NPI 1962623157

Karen Ann Jackson is a Addiction (substance Use Disorder) in Woodridge, Illinois. Karen Ann Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Karen Ann Jackson is 1962623157. The last update date is 2007-07-08.

Karen Ann Jackson's current location address is 6829 Roberts Drive, Woodridge, Illinois. You can contact this provider via phone number 6309697645. The mailing address for Karen Ann Jackson is 6829 Roberts Drive, Woodridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen Ann Jackson
Address 6829 Roberts Drive, Woodridge, Illinois
Phone Number 6309697645
Fax Number
Sole Proprietor N
Credentials MASTER OF

NPI Number Detail

NPI Number 1962623157
Provider Enumeration Date 2007-05-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6829 Roberts Drive
City Woodridge
State Illinois (IL)
Post Code 605171501
Phone Number 6309697645
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Karen Ann Jackson

What is the unique identifier code issued to Karen Ann Jackson by the Centers for Medicare & Medicaid Services (CMS)?

The Karen Ann Jackson has been assigned the NPI (National Provider Identifier) 1962623157. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Karen Ann Jackson is located?

The Karen Ann Jackson is situated at the following address: 6829 Roberts Drive, Woodridge, IL, 605171501.

What is Karen Ann Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Karen Ann Jackson's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1962623157 to Karen Ann Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1962623157 to Karen Ann Jackson on 2007-05-02.

As of what date were the details related to Karen Ann Jackson most recently updated or revised?

The information pertaining to Karen Ann Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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