Individual provider · Type 1 NPI
Tionna Jackson
Professional Counselor · Peoria, IL
NPI number
1720836877
Active
Practice location
4900 N Glen Park Place Rd Ste B
Peoria, IL 61614-4685
Mailing address
1704 W Gilbert Ave
Peoria, IL 61604-2531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1720836877
Tionna Jackson's National Provider Identifier is 1720836877, issued on May 13, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on May 13, 2024.