Individual
MS. JILL CHRISTINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
215 S GRAND AVE W, SPRINGFIELD, IL 62704-3838
(217) 744-3525
(217) 744-3535
Mailing address
215 S GRAND AVE W, SPRINGFIELD, IL 62704-3838
(217) 744-3525
(217) 744-3535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007488
IL
Other
Enumeration date
09/28/2012
Last updated
05/23/2015
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