Search › Illinois › 101YM0800X
Jennifer Jackson, MA, LCPC
NPI 1134698723 · on the registry since 2018 · sole proprietor
Practice
- Address
- 636 Church St Ste 415
Evanston, IL 60201 - Phone
- (773) 234-0194
- Fax
- (773) 676-0111
- Organisation at this address
- Melanie Katin
Tony Fu Md Sc
Anne Chodzko Pc
Mimi Landau, Inc
Renee B Wright PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 118
Additional practice sites
- 4470 W Sunset Blvd Ste 107, Los Angeles, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-14
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