Individual provider · Type 1 NPI
Krista Ann Jackson, LPC
Professional Counselor · Chatham, IL
NPI number
1639003676
Active
Practice location
15 Knollcrest Ln
Chatham, IL 62629-1056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.009251 (IL) |
Professional Counselor: Definition to come...
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About NPI 1639003676
Krista Ann Jackson, LPC's National Provider Identifier is 1639003676, issued on Jun 12, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chatham, IL. The record was last updated on Jun 12, 2026.