MS. Tifarah Jackson, LPC

NPI #1730709452 in Sycamore, Illinois

Provider Information

NPI Number: 1730709452
Entity Type: Individual
Name: MS. Tifarah Jackson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Apr 22, 2020
Last Updated: Apr 22, 2020

Practice Location

Address: 1815 MEDITERRANEAN DR
City: Sycamore
State: Illinois
ZIP Code: 60178-3144
Phone: (630) 297-3617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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