Jackson Mancuso, LPC
NPI #1780406512 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1780406512
- Entity Type
- Individual
- Name
- Jackson Mancuso, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Oct 31, 2024
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 1 WESTMINSTER PL STE 101
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-5511
- Phone
- (847) 919-9096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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