EDWARD L JACKSON

SAINT LOUIS, MO
NPI1144389917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  002498)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
Mr. EDWARD L JACKSON LPC
7750 CLAYTON RD SUITE 103
SAINT LOUIS, MO 63117-1353
Phone number: 314-647-7708
Mailing Address
Mr. EDWARD L JACKSON LPC
3807 KEENELAND CT
FLORISSANT, MO 63034-3350
Phone number: 314-921-2893
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