Mrs. Autumn Kamineh Badger Jackson
Mrs. Autumn Kamineh Badger Jackson is a Clinical Social Worker in Danville, Illinois. Licensed in Illinois. Registered with an NPI since 2024.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
1900 E Main StDanville, IL 61832-5100
Phone: (217) 554-4074
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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 · Licence 150111308 (IL) |
|---|
Record details
| NPI number | 1497504070 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 15, 2024 |
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