IndividualActive
Charlette Jackson
NPI 1285187690 · Mental Health Counselor · Cairo, IL
Provider details
- NPI number
- 1285187690
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1401 Washington Ave
Cairo, IL 62914-1810
Phone: (618) 734-2665
Fax: (618) 734-1999
Approximate (ZIP-level) locationGet directions
Mailing address
1401 Washington Ave
Cairo, IL 62914-1810
Registry dates
- Enumerated
- 2016-08-02
- Last updated
- 2016-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.