Individual provider · Type 1 NPI
Jessica Jackson
Professional Counselor · Bourbonnais, IL
NPI number
1932974102
Active
Practice location
1532 Northfield Meadows Blvd Apt 4
Bourbonnais, IL 60914-4833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.019460 (IL) |
Professional Counselor: Definition to come...
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About NPI 1932974102
Jessica Jackson's National Provider Identifier is 1932974102, issued on Nov 17, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bourbonnais, IL. The record was last updated on Nov 17, 2023.