Search › Illinois › 1041C0700X
Diane Jackson, LMSW-ACP
NPI 1922160720 · on the registry since 2006
Practice
- Address
- 1129 Hightower Place Dr
O Fallon, IL 62269 - Phone
- (618) 628-0886
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-11-09
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