Individual provider · Type 1 NPI

Colleen M. Jackson

Counselor · Chicago, IL

NPI number 1699317263 Active

Practice location

1136 S Delano Ct W Ste B201
Chicago, IL 60605-3734

Call (708) 845-5500 Map

Fax (708) 845-5505

Mailing address

15127 S 73rd Ave Ste G
Orland Park, IL 60462-3425

Other practice locations

  • 1401 W Hollywood Ave, Chicago, IL 60660-4214 · (708) 845-5500

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X178015305 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1699317263

Colleen M. Jackson's National Provider Identifier is 1699317263, issued on Oct 15, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 15, 2019.