Individual provider · Type 1 NPI
Samantha Jo Jackson, LPC
Mental Health Counselor · Canton, IL
NPI number
1053215459
Active
Practice location
8 S Main St
Canton, IL 61520-2606
Mailing address
115 Linden St
Canton, IL 61520-1114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 178.033548 (IL) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Canton
About NPI 1053215459
Samantha Jo Jackson, LPC's National Provider Identifier is 1053215459, issued on Oct 7, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, IL. The record was last updated on Oct 7, 2026.