Jackson Therapy
Jackson Therapy is a Clinical Social Worker in Urbana, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
404 W Green StUrbana, IL 61801-3267
Phone: (217) 706-5498
Fax: (217) 706-5779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1164080693 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Jackson — Owner/Lead Therapist · (217) 840-4090 |
| NPI enumerated | May 30, 2019 |
| Last updated in NPPES | March 30, 2023 |
| Certification date | March 30, 2023 |
| Mailing address | 230 W Main St, Decatur, IL 62523-1215 |
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Angela L Jackson, LCSW
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