person
Jessica Jackson, LPC
Professional Counselor in Bloomington, Illinois
NPI 1306426564

Jessica Jackson is a Professional Counselor based in Bloomington, IL and is specialized in Professional. Jessica Jackson practices in Bloomington, IL and has the professional credentials of LPC. The NPI Number for Jessica Jackson is 1306426564 and holds a License No. 178.011232 (Illinois).

The current practice location address for Jessica Jackson is 906 E Chestnut St, Bloomington, IL and can be reached out via phone at 309-445-3696. You can also correspond with Jessica Jackson through the mailing address at 906 E CHESTNUT ST, BLOOMINGTON, IL - 61701-3308 (mailing address contact number: 309-750-6496).

Location: 906 E Chestnut St, Bloomington, IL, 61701-3308
person
Provider Profile Details
NPI Number
1306426564
Provider Name
Jessica Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
906 E Chestnut St, Bloomington, IL, 61701-3308
Phone Number
309-445-3696
Fax Number
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
906 E Chestnut St
City
State
Zip
61701-3308
Phone Number
309-445-3696
Fax Number
person
Provider Business Mailing Address Details
Address
906 E Chestnut St
City
State
Zip
61701-3308
Phone Number
309-445-3696
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.014961 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.011232 (Illinois)
Definition
Definition to come...
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