Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latiara Jackson, MACOUNSELING

Individual provider Professional Counselor · NPI 1295521300

Latiara Jackson, MACOUNSELING is a Professional Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3410 W Roosevelt Rd
Chicago, IL 60624-4343
Phone: (312) 728-4430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (IL)
Professional Counselor Taxonomy 101YP2500X (IL)

Record details

NPI number1295521300
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACOUNSELING
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

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