Kiyana Jackson, LCPC
NPI #1528414976 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1528414976
- Entity Type
- Individual
- Name
- Kiyana Jackson, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- May 4, 2016
- Last Updated
- May 4, 2016
Practice Location
- Address
- 1175 LILY CACHE LN
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60490-3122
- Phone
- (815) 290-9048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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