SearchIllinois101YP2500X

Brittany Jackson, LCPC

NPI 1649683988 · on the registry since 2014 · sole proprietor

Practice

Address
1010 E 79th St
Chicago, IL 60619
Phone
(312) 613-8792
Clinicians at this address
3

Additional practice sites

  • 3062 E 91st St, Chicago, IL
  • 405 N Wabash Ave, Chicago, IL

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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