MR. Jackson G Hollway, LPC, MA, NCC
NPI #1750076782 in Northbrook, Illinois
Provider Information
- NPI Number
- 1750076782
- Entity Type
- Individual
- Name
- MR. Jackson G Hollway, LPC, MA, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, MA, NCC
- Enumeration Date
- Apr 6, 2023
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 910 SKOKIE BLVD STE 215
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-4033
- Phone
- (312) 625-6241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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