CELESTE JACKSON, PHD
Counselor
Active
Individual
NPI: 1619400942
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | 178012452 (IL) |
| Counselor | 101Y00000X | Yes | 180.015650 (IL) |
Frequently Asked Questions
NPI 1619400942 is the National Provider Identifier for CELESTE JACKSON, PHD, a Counselor provider located in Oswego, IL. This NPI was enumerated on April 4, 2017.
CELESTE JACKSON, PHD practices at 155 CONCORD DR S, Oswego, IL 60543.
Quick Facts
- NPI
- 1619400942
- Type
- Individual
- Enumerated
- Apr 4, 2017
- Last Updated
- Sep 21, 2025
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