Individual
AMBER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6419 W 87TH ST, OAK LAWN, IL 60453-1048
(708) 634-0821
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178017691
IL
106S00000X
Behavior Technician
—
IL
Other
Enumeration date
05/18/2019
Last updated
08/08/2022
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