Individual provider · Type 1 NPI

Mindy Jackson

Mental Health Counselor · Tinley Park, IL

NPI number 1639911209 Active

Practice location

16086 Harlem Ave
Tinley Park, IL 60477-1612

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.020011 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1639911209

Mindy Jackson's National Provider Identifier is 1639911209, issued on Jun 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tinley Park, IL. The record was last updated on Mar 1, 2026.