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Organization
JACKSON BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
JACKSON BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDISON JACKSON JR. LCSW (DIRECTOR)
(708) 983-8074
Entity
Organization
Contact information
Practice address
4137 SAUK TRL STE 146, RICHTON PARK, IL 60471-1253
(708) 983-8074
Mailing address
4137 SAUK TRL STE 146, RICHTON PARK, IL 60471-1253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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