Stephen Jackson
Stephen Jackson is a Mental Health Counselor in Oswego, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
155 Concord Dr SOswego, IL 60543-6026
Phone: (708) 964-9735
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 178.018297 (IL) |
|---|
Record details
| NPI number | 1891563888 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 19, 2023 |
| Last updated in NPPES | December 19, 2023 |
| Certification date | December 19, 2023 |
| Mailing address | 155 Concord Dr S, Oswego, IL 60543-6026 |
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