Tawann Jackson, ED.S, NCSP
NPI #1710404496 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1710404496
- Entity Type
- Individual
- Name
- Tawann Jackson, ED.S, NCSP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Credential
- ED.S, NCSP
- Enumeration Date
- Aug 24, 2017
- Last Updated
- Aug 24, 2017
Practice Location
- Address
- 360 BLAIR LANE
- Address 2
- DOOR 13
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60615
- Phone
- (630) 679-1210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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