Individual provider · Type 1 NPI

Ida B. Jackson, LCPC

Mental Health Counselor · Chicago, IL

NPI number 1659682037 Active

About NPI 1659682037

Ida B. Jackson, LCPC's National Provider Identifier is 1659682037, issued on Jun 30, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jun 30, 2010.