MS. Ida B Jackson LCPC,

  • NPI 1659682037
According to our database, the NPI number for MS. Ida B Jackson LCPC, is 1659682037 and activated since 13 years ago. MS. Ida B Jackson LCPC, is an individual provider who specializes in Mental Health, and the primary practice location is 4314 S Cottage Grove Ave, Chicago, IL 60653. You can also contact MS. Ida B Jackson LCPC, via telephone number is (312) 747-0036. Provider NPI information was last updated on 06/30/2010.

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Overview of MS. Ida B Jackson LCPC,

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/30/2010
  • Last updated: 06/30/2010

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 180-000225
  • License State: IL

Provider Mailing Address

  • Address: 4314 S Cottage Grove Ave
    Suite 208
    Chicago, IL 60653
  • Phone: 312-747-0036
  • Fax: 312-747-2208

Provider Practice Location

  • Address: 4314 S Cottage Grove Ave
    Suite 208
    Chicago, IL 60653
  • Phone: 312-747-0036
  • Fax: 312-747-2208

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 180-000225
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MS. Ida B Jackson LCPC,?
  • A: The npi number for MS. Ida B Jackson LCPC, is 1659682037.
  • Q: What are MS. Ida B Jackson LCPC,'s specialties?
  • A: MS. Ida B Jackson LCPC,'s specialties are Mental Health and different specialities.
  • Q: What is the medical license for MS. Ida B Jackson LCPC,?
  • A: The medical license number for MS. Ida B Jackson LCPC, is 180-000225 and issued in IL in USA.
  • Q: Where is MS. Ida B Jackson LCPC, practice location?
  • A: MS. Ida B Jackson LCPC, is practicing at 4314 S Cottage Grove Ave, Chicago, IL 60653.
  • Q: How to contact MS. Ida B Jackson LCPC,?
  • A: You can contact MS. Ida B Jackson LCPC, via 312-747-0036.