Addison Jackson, LCSW

NPI 1821648668 · on the registry since 2019 · sole proprietor

Practice

Address: 4137 Sauk Trl Ste 146
Richton Park, IL 60471
Phone: (708) 983-8074
Organisation at this address: Pearls Of Hope Llc
No I In Famlee Llc
Tighty Recovery Inc
Soul Werk Cafe Pllc
Wei Transportation Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-09

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