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Search › Illinois › 101YP2500X

Kellyn Jackson, LPC, R-DMT

NPI 1073138194 · on the registry since 2020 · sole proprietor

Practice

Address
2835 N Sheffield Ave Ste 304
Chicago, IL 60657
Phone
(630) 866-5666
Organisation at this address
Jzbe
Solararx
Walgreen Co
Best Self Inc.
Wave Break Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Additional practice sites

  • 2310 W Roosevelt Rd, Chicago, IL

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
225600000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois