MR. Skye Daniel Jackson, M.A., LPC

NPI #1679964654 in Normal, Illinois

Provider Information

NPI Number
1679964654
Entity Type
Individual
Name
MR. Skye Daniel Jackson, M.A., LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
M.A., LPC
Enumeration Date
Feb 11, 2015
Last Updated
Feb 11, 2015

Practice Location

Address
706 OGLESBY AVE STE 112
City
Normal
ZIP Code
61761-4618
Phone
(309) 585-0241

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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