Edward Jackson, LPC

NPI 1144389917 · on the registry since 2006 · sole proprietor

Practice

Address: 7750 Clayton Rd
Suite 103
Saint Louis, MO 63117
Phone: (314) 647-7708
Fax: (314) 645-0359
Organisation at this address: Positive By Design Llc
5 Star Home Care Services Llc
Melvin A. Tann, Acsw, Lcsw, Llc
Creative Pathways To Wholeness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri