Individual
BRIANNA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7300 W COLLEGE DR STE 203, PALOS HEIGHTS, IL 60463-1183
(708) 488-7848
Mailing address
18653 BERNADINE ST, LANSING, IL 60438-3506
(708) 822-3575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.020373
IL
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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