person
Mr. Skye Daniel Jackson, MA,LPC
Professional Counselor in Normal, Illinois
NPI 1679964654

Skye Daniel Jackson is a Professional Counselor based in Normal, IL and is specialized in Professional. Skye Daniel Jackson practices in Normal, IL and has the professional credentials of MA,LPC. The NPI Number for Skye Daniel Jackson is 1679964654 and holds a License No. 178010761 (Illinois).

The current practice location address for Skye Daniel Jackson is 706 Oglesby Ave Ste 112, Normal, IL and can be reached out via phone at 309-585-0241.

Location: 706 Oglesby Ave Ste 112, Normal, IL, 61761-4618
person
Provider Profile Details
NPI Number
1679964654
Provider Name
Skye Daniel Jackson
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
706 Oglesby Ave Ste 112, Normal, IL, 61761-4618
Phone Number
309-585-0241
Fax Number
Provider Enumeration Date
02/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
706 Oglesby Ave Ste 112
City
State
Zip
61761-4618
Phone Number
309-585-0241
Fax Number
person
Provider Business Mailing Address Details
Address
706 Oglesby Ave Ste 112
City
State
Zip
61761-4618
Phone Number
309-585-0241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178010761 (Illinois)
Definition
Definition to come...
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