Individual provider · Type 1 NPI

Kendal'spirit Jackson, LPC

Mental Health Counselor · Downers Grove, IL

NPI number 1043034648 Active

Practice location

4932 Main St
Downers Grove, IL 60515-3611

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.020862 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1043034648

Kendal'spirit Jackson, LPC's National Provider Identifier is 1043034648, issued on Nov 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Downers Grove, IL. The record was last updated on Nov 11, 2024.