Michael Jacksa, LCPC

NPI 1528480282 · on the registry since 2014 · sole proprietor

Practice

Address: 1150 Essington Rd
Suite 101
Joliet, IL 60435
Phone: (815) 823-8460
Fax: (815) 823-8461
Organisation at this address: The Sykes Group, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-15

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