Individual provider · Type 1 NPI

Teana Jackson

Mental Health Counselor · Chicago, IL

NPI number 1912479098 Active

Practice location

8407 S Constance Ave
Chicago, IL 60617-2218

Mailing address

PO Box 378401
Chicago, IL 60637-8401

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912479098

Teana Jackson's National Provider Identifier is 1912479098, issued on Dec 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Dec 29, 2018.