Individual
ERIKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
111 CHURCH ST, STE. 103, SAINT LOUIS, MO 63135-2441
(314) 616-8919
Mailing address
111 CHURCH ST, STE. 103, SAINT LOUIS, MO 63135-2441
(314) 616-8919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2015000873
MO
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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