person
Kiyana Jackson, LCPC
Professional Counselor in Bolingbrook, Illinois
NPI 1528414976

Kiyana Jackson is a Professional Counselor based in Romeoville, IL and is specialized in Professional. Kiyana Jackson practices in Bolingbrook, IL and has the professional credentials of LCPC. The NPI Number for Kiyana Jackson is 1528414976 and holds a License No. 180.009857 (Illinois).

The current practice location address for Kiyana Jackson is 1175 Lily Cache Ln, Bolingbrook, IL and can be reached out via phone at 815-290-9048.

Location: 1175 Lily Cache Ln, Bolingbrook, IL, 60446-4892
person
Provider Profile Details
NPI Number
1528414976
Provider Name
Kiyana Jackson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1175 Lily Cache Ln, Bolingbrook, IL, 60446-4892
Phone Number
815-290-9048
Fax Number
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1175 Lily Cache Ln
City
State
Zip
60490-3122
Phone Number
815-290-9048
Fax Number
person
Provider Business Mailing Address Details
Address
1175 Lily Cache Ln
City
State
Zip
60490-3122
Phone Number
815-290-9048
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.009857 (Illinois)
Definition
Definition to come...
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