Search › Illinois › 1041C0700X
Fay Jackson, LCSW, CADC
NPI 1871825984 · on the registry since 2010
Practice
- Address
- 3140 W Route 64
St. Charles, IL 60175 - Phone
- (630) 587-5631
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-02-01
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 Illinois