Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tawanna Odelia Jackson

Individual provider Mental Health Counselor · NPI 1639923303

Tawanna Odelia Jackson is a Mental Health Counselor in Saint Louis, Missouri. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

11102 Lindbergh Business Ct
Saint Louis, MO 63123-7810
Phone: (314) 206-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1639923303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

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