IDA B JACKSON

CHICAGO, IL
NPI1659682037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180-000225)
Enumeration Date2010-06-30
Last Update Date2010-06-30
Business Address
Ms. IDA B JACKSON LCPC,
4314 S COTTAGE GROVE AVE SUITE 208
CHICAGO, IL 60653-3514
Phone number: 312-747-0036
Mailing Address
Ms. IDA B JACKSON LCPC,
4314 S COTTAGE GROVE AVE SUITE 208
CHICAGO, IL 60653-3514
Phone number: 312-747-0036
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