Individual provider · Type 1 NPI
Tasha Jackson, LPC
Mental Health Counselor · Chicago, IL
NPI number
1790356020
Active
Practice location
1136 S Delano Ct W Ste B201
Chicago, IL 60605-3734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1790356020
Tasha Jackson, LPC's National Provider Identifier is 1790356020, issued on Jul 7, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jun 24, 2022.