Individual provider · Type 1 NPI

Tifarah Jackson, LPC

Professional Counselor · Sycamore, IL

NPI number 1730709452 Active

Practice location

1815 Mediterranean Dr
Sycamore, IL 60178-3144

Call (630) 297-3617 Map

Mailing address

2224 Eves Cir W
Dekalb, IL 60115-5813

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.015091 (IL)

Professional Counselor: Definition to come...

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About NPI 1730709452

Tifarah Jackson, LPC's National Provider Identifier is 1730709452, issued on Apr 22, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sycamore, IL. The record was last updated on Apr 22, 2020.