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Jessica Jackson, LPC
NPI 1306426564 · on the registry since 2021 · sole proprietor
Practice
- Address
- 906 E Chestnut St
Bloomington, IL 61701 - Phone
- (309) 445-3696
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Mental Health Counselor
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-03
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