KELLYN JACKSON, LPC, R-DMT
Counselor - Professional
Active
Individual
NPI: 1073138194
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dance Therapist | 225600000X | No | R-DMT-2538 (IL) |
| Counselor - Professional | 101YP2500X | Yes | 178016509 (IL) |
Frequently Asked Questions
NPI 1073138194 is the National Provider Identifier for KELLYN JACKSON, LPC, R-DMT, a Counselor - Professional provider located in Chicago, IL. This NPI was enumerated on June 15, 2020.
KELLYN JACKSON, LPC, R-DMT practices at 2835 N SHEFFIELD AVE STE 304, Chicago, IL 60657.
Quick Facts
- NPI
- 1073138194
- Type
- Individual
- Enumerated
- Jun 15, 2020
- Last Updated
- Oct 4, 2022
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