PRISCILLA LORRAINE JACKSON

CHICAGO, IL
NPI1518610518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-01-31
Last Update Date2022-01-31
Business Address
PRISCILLA LORRAINE JACKSON MHS, CADC
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
Mailing Address
PRISCILLA LORRAINE JACKSON MHS, CADC
1318 HEATHER RD E
BOURBONNAIS, IL 60914-5105
Phone number: 815-546-5108
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