Individual
MRS. PATRICIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTI
Contact information
Practice address
333 N MICHIGAN AVE STE 1400, CHICAGO, IL 60601-4011
(312) 815-9660
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 287-6200
(408) 579-6143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699841528
—
CA
Enumeration date
09/02/2014
Last updated
04/21/2026
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