| Doctor Name: | MRS. JILL ALANA JACKSON |
| NPI Number: | 1043270093 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 00738 |
| Business Practice Address: | 1003 Cottonwood Rd Creston, IA - 50801 |
| Business Phone Number: | 6417828457 |
| Business Fax Number: | 6417827048 |
| Mailing Address: | 1003 Cottonwood Rd, CRESTON |
| State: | IA |
| Postal Code: | 50801 |
| Phone Number: | 6417828457 |
| Fax Number: | 6417827048 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 00738 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |