Individual
ELIZABETH ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
73 S RIVERSIDE DR, ELGIN, IL 60120-6452
(847) 243-6458
Mailing address
564 DOUGLAS AVE, ELGIN, IL 60120-3672
(630) 373-9311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.114154
IL
Other
Enumeration date
09/24/2024
Last updated
10/16/2024
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