Amber Lea Jackson

Counselor · Pekin, IL

Individual Active NPI

NPI number 1255528881

Practice location

3248 Vandever Ave
Pekin, IL 61554-6257
Phone
(309) 347-5579
Fax
(309) 347-4264

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NPI record

NPI
1255528881
Entity type
Individual (Type 1)
Enumeration date
September 27, 2007
Last updated
September 27, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

About Amber Jackson

Amber Lea Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 3248 Vandever Ave, Pekin, IL 61554-6257. The NPI number 1255528881 was assigned on September 27, 2007 and the record was last updated on September 27, 2007.

Frequently asked questions

What is the NPI number of Amber Lea Jackson?

The NPI number is 1255528881.

What is the phone number of Amber Jackson?

The phone number listed for the practice location is (309) 347-5579.

Where is Amber Jackson located?

3248 Vandever Ave, Pekin, IL 61554-6257.

What is the taxonomy code for Amber Jackson?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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