Individual provider · Type 1 NPI
Krista Jackson, LCPC
Professional Counselor · Lincolnshire, IL
NPI number
1265813596
Active
Practice location
111 Barclay Blvd Ste 180
Lincolnshire, IL 60069-3615
Fax (847) 748-2019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180003226 (IL) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1265813596
Krista Jackson, LCPC's National Provider Identifier is 1265813596, issued on Jun 11, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lincolnshire, IL. The record was last updated on Dec 13, 2023.