Individual
MS. BRITTANY A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1010 E 79TH ST, CHICAGO, IL 60619-4442
(312) 613-8792
Mailing address
8546 W 103RD TER APT 203, PALOS HILLS, IL 60465-1362
(312) 613-8792
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.010018
IL
101YP2500X
Professional Counselor
Primary
180.010945
IL
Other
Enumeration date
06/04/2014
Last updated
07/21/2022
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