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Organization
JP THERAPEUTIC SERVICES
Active
Organization
JP THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACLYN NICOLE PICKOWITZ MS LCPC (OWNER)
(217) 821-5232
Entity
Organization
Contact information
Practice address
807 W HIGHWAY 50 STE 3, O FALLON, IL 62269-1856
(217) 821-5232
Mailing address
7203 DARTMOUTH AVE APT 2W, SAINT LOUIS, MO 63130-3007
(217) 821-5232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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