Jessica Jackson, LPC
NPI #1306426564 in Bloomington, Illinois
Provider Information
- NPI Number
- 1306426564
- Entity Type
- Individual
- Name
- Jessica Jackson, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Apr 12, 2021
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 906 E CHESTNUT ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3308
- Phone
- (309) 445-3696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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