MS. Ida B Jackson LCPC,

  • 1659682037 NPI Number
  • |
  • Actived: 9 years ago
  • |
According to our database, NPI number for MS. Ida B Jackson LCPC, is 1659682037 and actived since Wednesday, June 30 2010. MS. Ida B Jackson LCPC, is an individual provider specializes in Mental Health, 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: 1053952572
  • Provider type: Individual
  • Specialty: Mental Health
  • 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

What is the npi number?

  • 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.