Search › Indiana › 1041C0700X
Dominique Jackson, LCSW
NPI 1891382339 · on the registry since 2020
Practice
- Address
- 2106 Morthland Dr Unit 1086
Valparaiso, IN 46383 - Phone
- (219) 508-5646
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-25
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 Indiana