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Organization
CULTURALLY COMPETENT THERAPY PLLC
Active
Organization
CULTURALLY COMPETENT THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA DECARLA JACKSON PH.D., LCPC, LMHC (OWNER)
(312) 798-9755
Entity
Organization
Contact information
Practice address
1251 N EDDY ST STE 200, SOUTH BEND, IN 46617-1478
(312) 798-9755
Mailing address
1251 N EDDY ST STE 200, SOUTH BEND, IN 46617-1478
(312) 798-9755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NULL
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
06/25/2025
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