Michael K Jackson, MASTERS
Michael K Jackson, MASTERS is an Adolescent and Children Mental Health Clinic/Center in Eldorado, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1200 Locust StEldorado, IL 62930-1723
Phone: (618) 252-9036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|
Record details
| NPI number | 1669236477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MASTERS |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2024 |
| Last updated in NPPES | February 12, 2024 |
| Certification date | February 12, 2024 |
| Mailing address | 1200 Locust St, Eldorado, IL 62930-1723 |