Individual
CATRIESE CARSON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
577 E MARTIN AVE, WATSEKA, IL 60970-2000
(815) 549-8575
Mailing address
1580 W RIVER ST, KANKAKEE, IL 60901-3242
(815) 549-8575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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