Individual
DR. CHRISTINA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
111 N WABASH AVE BLDG 1156, CHICAGO, IL 60602-1903
(312) 826-9480
Mailing address
111 N WABASH AVE BLDG 1156, CHICAGO, IL 60602-1903
(312) 826-9480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
10/20/2018
Last updated
01/15/2021
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