Individual provider · Type 1 NPI

Ketajia Jackson, LPC

Mental Health Counselor · Chicago, IL

NPI number 1114864188 Active

Practice location

3605 W Fillmore St
Chicago, IL 60624-4310

Mailing address

4213 S Wells St Apt 2
Chicago, IL 60609-2813

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178018536 (IL)

Mental Health Counselor: Definition to come...

13 other providers at this address

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About NPI 1114864188

Ketajia Jackson, LPC's National Provider Identifier is 1114864188, issued on Apr 29, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Apr 29, 2026.