Individual provider · Type 1 NPI

Chante Monique Jackson, LPC

Professional Counselor · Berwyn, PA

NPI number 1073382669 Active

Practice location

1031 Old Cassatt Rd Ste 100
Berwyn, PA 19312-1152

Call (215) 785-6835 Map

Mailing address

327 Dickinson St Apt 2F
Philadelphia, PA 19147-6500

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC016536 (PA)

Professional Counselor: Definition to come...

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About NPI 1073382669

Chante Monique Jackson, LPC's National Provider Identifier is 1073382669, issued on Dec 25, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Berwyn, PA. The record was last updated on Dec 25, 2023.