Individual provider · Type 1 NPI
Shannon Hannigan Jackson, LCPC
Professional Counselor · Lake In The Hills, IL
NPI number
1831759570
Active
Practice location
3910 Thornberry Way
Lake In The Hills, IL 60156-4625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1831759570
Shannon Hannigan Jackson, LCPC's National Provider Identifier is 1831759570, issued on Jun 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake In The Hills, IL. The record was last updated on Jun 14, 2019.