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Kurt Jackson
NPI 1104178649 · on the registry since 2012 · sole proprietor
Practice
- Address
- 8044 S Racine Ave
Chicago, IL 60620 - Phone
- (773) 723-9291
- Fax
- (773) 723-9291
- Organisation at this address
- Inner Peace Holistic Counseling Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Professional Counselor
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-09
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