IDA JACKSON, LCPC,

LCPC,

Mental Health Counselor

NPI: 1659682037Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

180-000225(IL)

Contact & Hours

Address: 4314 S COTTAGE GROVE AVE, SUITE 208
CHICAGO, IL 60653
Phone: (312) 747-0036

Quick Facts

NPI: 1659682037
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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