EDNA JACKSON, MA
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1265819213
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Pastoral | 101YP1600X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1265819213 is the National Provider Identifier for EDNA JACKSON, MA, a Counselor - Addiction (Substance Use Disorder) provider located in Saint Louis, MO. This NPI was enumerated on April 29, 2015.
EDNA JACKSON, MA practices at 1430 OLIVE ST STE 400, Saint Louis, MO 63103.
Quick Facts
- NPI
- 1265819213
- Type
- Individual
- Enumerated
- Apr 29, 2015
- Last Updated
- Jul 28, 2022
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