Martina Shauntae Jackson
Martina Shauntae Jackson is a Professional Counselor in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
2008 N Lawler AveChicago, IL 60639-3136
Phone: (708) 860-1201
Fax: (708) 221-6679
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 178.014194 (IL) |
|---|
Record details
| NPI number | 1871114215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 27, 2020 |
| Last updated in NPPES | April 27, 2020 |
| Certification date | April 27, 2020 |
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