Individual provider · Type 1 NPI

Latiara Jackson, MA COUNSELING

Mental Health Counselor · Chicago, IL

NPI number 1295521300 Active

Practice location

3410 W Roosevelt Rd
Chicago, IL 60624-4343

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1295521300

Latiara Jackson, MA COUNSELING's National Provider Identifier is 1295521300, issued on Apr 16, 2025. 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 16, 2025.