Individual provider · Type 1 NPI
Christina Jackson, PhD
Professional Counselor · Chicago, IL
NPI number
1073089702
Active
Practice location
111 N Wabash Ave Bldg 1156
Chicago, IL 60602-1903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1073089702
Christina Jackson, PhD's National Provider Identifier is 1073089702, issued on Oct 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 15, 2021.