Individual
EBONY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9845 S CICERO AVE APT 3N, OAK LAWN, IL 60453-3141
(773) 981-2998
Mailing address
9845 S CICERO AVE APT 3N, OAK LAWN, IL 60453-3141
(773) 981-2998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.021645
IL
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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