Individual
ALEXIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 N GRANT ST STE 2C, HINSDALE, IL 60521-3368
(630) 580-8080
Mailing address
19 N GRANT ST STE 2C, HINSDALE, IL 60521-3368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.016241
IL
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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