Individual
KASEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1284 JUNGERMANN RD, SAINT PETERS, MO 63376-6966
(636) 498-0700
Mailing address
1284 JUNGERMANN RD, SAINT PETERS, MO 63376-6966
(636) 498-0700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2023015693
MO
101YP2500X
Professional Counselor
Primary
2025009350
MO
Other
Enumeration date
04/08/2020
Last updated
02/11/2026
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