Individual provider · Type 1 NPI

Karen Ann Jackson, MASTER OF SCIENCE LI

Addiction (Substance Use Disorder) Counselor · Bolingbrook, IL

NPI number 1962623157 Active

Practice location

440 East Briarcliff
Bolingbrook, IL 60440

Mailing address

6829 Roberts Drive
Woodridge, IL 60517-1501

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962623157

Karen Ann Jackson, MASTER OF SCIENCE LI's National Provider Identifier is 1962623157, issued on May 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bolingbrook, IL. The record was last updated on Sep 11, 2025.