IndividualActive
Edna Jackson, MA
NPI 1265819213 · Addiction (Substance Use Disorder) Counselor · Saint Louis, MO
Provider details
- NPI number
- 1265819213
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
Practice location
1430 Olive St Ste 400
Saint Louis, MO 63103-2303
Phone: (314) 206-3700
Mailing address
1430 Olive St Ste 400
Saint Louis, MO 63103-2303
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.