Individual
DR. ANGELA DECARLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCPC, LMHC
Contact information
Practice address
1251 N EDDY ST STE 200, SOUTH BEND, IN 46617-1478
(312) 798-9755
Mailing address
1251 N EDDY ST STE 200, SOUTH BEND, IN 46617-1478
(312) 798-9755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.011258
IL
101YP2500X
Professional Counselor
Primary
39004648A
IN
Other
Enumeration date
11/17/2016
Last updated
06/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us