Terry Lewis Jackson in Pinckneyville - Professional

Terry Lewis Jackson - NPI 1811067606

Terry Lewis Jackson is a Professional in Pinckneyville, Illinois. Terry Lewis Jackson practices all healthcare services and medical treatments related to Professional. The NPI Number for Terry Lewis Jackson is 1811067606. The last update date is 2007-07-08.

Terry Lewis Jackson's current location address is 17 W Water St, Pinckneyville, Illinois. You can contact this provider via phone number 6183573396 and fax number 6183573396. The mailing address for Terry Lewis Jackson is 17 W Water St, Pinckneyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Terry Lewis Jackson
Address 17 W Water St, Pinckneyville, Illinois
Phone Number 6183573396
Fax Number 6183573396
Sole Proprietor N
Credentials LCPC

NPI Number Detail

NPI Number 1811067606
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 17 W Water St
City Pinckneyville
State Illinois (IL)
Post Code 622741027
Phone Number 6183573396
Fax Number 6183573396

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Terry Lewis Jackson

What is the unique identifier code issued to Terry Lewis Jackson by the Centers for Medicare & Medicaid Services?

The Terry Lewis Jackson has been assigned the NPI (National Provider Identifier) 1811067606. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Terry Lewis Jackson is physically located?

The Terry Lewis Jackson is physically situated at the following address: 17 W Water St, Pinckneyville, IL, 622741027.

What is Terry Lewis Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Terry Lewis Jackson is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.

When was the Terry Lewis Jackson's 1811067606 issued?

The Terry Lewis Jackson's 1811067606 was issued on 2006-11-08.

When was the information pertaining to Terry Lewis Jackson most recently updated or revised?

The details related to Terry Lewis Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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