Edward L Jackson in Florissant - Mental Health
Edward L Jackson - NPI 1144389917
Edward L Jackson is a Mental Health in Florissant, Missouri. Edward L Jackson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Edward L Jackson is 1144389917. The last update date is 2007-07-08.
Edward L Jackson's current location address is 3807 Keeneland Ct, Florissant, Missouri. You can contact this provider via phone number 3149212893. The mailing address for Edward L Jackson is 3807 Keeneland Ct, Florissant, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward L Jackson |
|---|---|
| Address | 3807 Keeneland Ct, Florissant, Missouri |
| Phone Number | 3149212893 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1144389917 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3807 Keeneland Ct |
|---|---|
| City | Florissant |
| State | Missouri (MO) |
| Post Code | 630343350 |
| Phone Number | 3149212893 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2498 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Post Comment/ Review Below
What is the Edward L Jackson's 1144389917?
The Edward L Jackson's NPI (National Provider Identifier) Number is 1144389917. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Edward L Jackson?
The Edward L Jackson is situated at 3807 Keeneland Ct, in the city of Florissant, state of MO, with the zip code 630343350.
What is Edward L Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward L Jackson is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
When was the Edward L Jackson's 1144389917 issued?
The Edward L Jackson's 1144389917 was issued on 2006-12-08.
As of what date was the information regarding Edward L Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward L Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1194728337
Address: 5430 Fredericksburg Rd, San Antonio, TX