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Kellyn Jackson, LPC,R-DMT
Professional Counselor in Chicago, Illinois
NPI 1073138194

Kellyn Jackson is a Professional Counselor based in Chicago, IL and is specialized in Professional. Kellyn Jackson practices in Chicago, IL and has the professional credentials of LPC,R-DMT. The NPI Number for Kellyn Jackson is 1073138194 and holds a License No. R-DMT-2538 (Illinois).

The current practice location address for Kellyn Jackson is 2835 N Sheffield Ave Ste 304, Chicago, IL and can be reached out via phone at 630-866-5666. You can also correspond with Kellyn Jackson through the mailing address at 7400 N SHERIDAN RD APT 3A, CHICAGO, IL - 60626-2059 (mailing address contact number: 847-624-5298).

Location: 2835 N Sheffield Ave Ste 304, Chicago, IL, 60626-2059
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Provider Profile Details
NPI Number
1073138194
Provider Name
Kellyn Jackson
Credential
LPC,R-DMT
Provider Entity Type
Individual
Gender
Female
Address
2835 N Sheffield Ave Ste 304, Chicago, IL, 60626-2059
Phone Number
630-866-5666
Fax Number
Provider Enumeration Date
06/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619493855 01 IL PRIVATE INSURANCE
institution
Provider Business Practice Location Address Details
Address
2835 N Sheffield Ave Ste 304
City
State
Zip
60657-5084
Phone Number
630-866-5666
Fax Number
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Provider Business Mailing Address Details
Address
2835 N Sheffield Ave Ste 304
City
State
Zip
60657-5084
Phone Number
630-866-5666
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178016509 (Illinois)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Dance Therapist
Speciality
-
Taxonomy
License No.
R-DMT-2538 (Illinois)
Definition
The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master's degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR).
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