Individual provider · Type 1 NPI
Velma Rose Jackson
Counselor · Dixmoor, IL
NPI number
1710893953
Active
Practice location
14614 Seeley Ave
Dixmoor, IL 60426-1052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
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.
About NPI 1710893953
Velma Rose Jackson's National Provider Identifier is 1710893953, issued on Aug 19, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dixmoor, IL. The record was last updated on Aug 19, 2026.