Jordyne Jackson

Professional Counselor · Matteson, IL

Individual Active NPI

NPI number 1780414516

Practice location

8215 W Lincoln Hwy
Matteson, IL 60443
Phone
(877) 929-6283

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NPI record

NPI
1780414516
Entity type
Individual (Type 1)
Enumeration date
August 6, 2024
Last updated
August 6, 2024
Certified
July 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 180.016273 IL
Professional Counselor 101YP2500X 180016273 IL

Mailing address

8544 S Sangamon St Apt 2
Chicago, IL 60620-3214
Phone
(773) 322-5577

About Jordyne Jackson

Jordyne Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 8215 W Lincoln Hwy, Matteson, IL 60443. The NPI number 1780414516 was assigned on August 6, 2024 and the record was last updated on August 6, 2024.

Jordyne Jackson lists 2 licenses in the registry: #180.016273 (IL) for Professional Counselor; #180016273 (IL) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordyne Jackson?

The NPI number is 1780414516.

What is the phone number of Jordyne Jackson?

The phone number listed for the practice location is (877) 929-6283.

Where is Jordyne Jackson located?

8215 W Lincoln Hwy, Matteson, IL 60443.

What is the taxonomy code for Jordyne Jackson?

The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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