Individual provider · Type 1 NPI
Tamica D. Jackson, LCPC
Professional Counselor · Chicago, IL
NPI number
1548972276
Active
Practice location
1117 N Leclaire Ave Apt 3
Chicago, IL 60651-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.013845 (IL) |
| Professional Counselor Primary | 101YP2500X | 180.013845 (IL) |
Professional Counselor: Definition to come...
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About NPI 1548972276
Tamica D. Jackson, LCPC's National Provider Identifier is 1548972276, issued on Dec 13, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 16, 2025.