person
Tasha Jackson, LPC
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1790356020

Tasha Jackson is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Tasha Jackson practices in Chicago, IL and has the professional credentials of LPC. The NPI Number for Tasha Jackson is 1790356020 and holds a License No. (Illinois).

The current practice location address for Tasha Jackson is 1136 S Delano Ct W Ste B201, Chicago, IL and can be reached out via phone at 708-654-1929.

Location: 1136 S Delano Ct W Ste B201, Chicago, IL, 60605-3734
person
Provider Profile Details
NPI Number
1790356020
Provider Name
Tasha Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1136 S Delano Ct W Ste B201, Chicago, IL, 60605-3734
Phone Number
708-654-1929
Fax Number
Provider Enumeration Date
07/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1136 S Delano Ct W Ste B201
City
State
Zip
60605-3734
Phone Number
708-654-1929
Fax Number
person
Provider Business Mailing Address Details
Address
1136 S Delano Ct W Ste B201
City
State
Zip
60605-3734
Phone Number
708-654-1929
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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