Jacqueline Davis
Jacqueline Davis is a Mental Health Counselor in Jerseyville, Illinois. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
118 Krause DrJerseyville, IL 62052-3610
Phone: (618) 498-1808
Fax: (618) 462-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1033512405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 30, 2014 |
| Last updated in NPPES | October 2, 2014 |
| Mailing address | 2615 Edwards St, Alton, IL 62002-3915 |
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Maria Jordan
118 Krause Dr, Jerseyville, IL 62052-3610 · (618) 498-1808