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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.