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1528480282
MICHAEL JACKSA
JOLIET, IL
NPI
1528480282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.007598)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
-- MICHAEL JACKSA LCPC
1150 ESSINGTON RD SUITE 101
JOLIET, IL 60435-8447
Phone number: 815-823-8460
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Mailing Address
-- MICHAEL JACKSA LCPC
1150 ESSINGTON RD SUITE 101
JOLIET, IL 60435-8447
Phone number: 815-823-8460
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