Individual provider · Type 1 NPI
Paris Davette Jackson, LPCP, NCC
Professional Counselor · Belleville, IL
NPI number
1881921088
Active
Practice location
1663 Hartman Ln Apt 9
Belleville, IL 62221-6842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.008391 (IL) |
Professional Counselor: Definition to come...
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About NPI 1881921088
Paris Davette Jackson, LPCP, NCC's National Provider Identifier is 1881921088, issued on Nov 9, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Belleville, IL. The record was last updated on Jan 21, 2020.