Individual provider · Type 1 NPI

Kiyana Jackson, LCPC

Professional Counselor · Bolingbrook, IL

NPI number 1528414976 Active

Practice location

1175 Lily Cache Ln
Bolingbrook, IL 60490-3122

Call (815) 290-9048 Map

Mailing address

1651 Rose Ln
Romeoville, IL 60446-4892

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.009857 (IL)

Professional Counselor: Definition to come...

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About NPI 1528414976

Kiyana Jackson, LCPC's National Provider Identifier is 1528414976, issued on May 4, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bolingbrook, IL. The record was last updated on May 4, 2016.