person
Ms. Jennifer Lee Jackson, MA,LCPC
Mental Health Counselor in Evanston, Illinois
NPI 1134698723

Jennifer Lee Jackson is a Mental Health Counselor based in Cleveland, IL and is specialized in Mental Health. Jennifer Lee Jackson practices in Evanston, IL and has the professional credentials of MA,LCPC. The NPI Number for Jennifer Lee Jackson is 1134698723 and holds a License No. 180014068 (Illinois).

The current practice location address for Jennifer Lee Jackson is 636 Church St Ste 415, Evanston, IL and can be reached out via phone at 773-234-0194 and via fax at 773-676-0111.

Location: 636 Church St Ste 415, Evanston, IL, 44128-1915
person
Provider Profile Details
NPI Number
1134698723
Provider Name
Jennifer Lee Jackson
Credential
MA,LCPC
Provider Entity Type
Individual
Gender
Female
Address
636 Church St Ste 415, Evanston, IL, 44128-1915
Phone Number
773-234-0194
Fax Number
773-676-0111
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
636 Church St Ste 415
City
State
Zip
60201-4580
Phone Number
773-234-0194
Fax Number
773-676-0111
person
Provider Business Mailing Address Details
Address
636 Church St Ste 415
City
State
Zip
60201-4580
Phone Number
773-234-0194
Fax Number
773-676-0111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180014068 (Illinois)
Definition
Definition to come...
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