Individual
JESSICA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 NORTHFIELD MEADOWS BLVD APT 4, BOURBONNAIS, IL 60914-4833
(773) 313-5556
Mailing address
1532 NORTHFIELD MEADOWS BLVD APT 4, BOURBONNAIS, IL 60914-4833
(773) 313-5556
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.019460
IL
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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