MS. Ida B Jackson, LCPC, is a mental health counselor in Chicago, IL. MS. Ida B Jackson, LCPC, NPI is 1659682037. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4314 S COTTAGE GROVE AVE
SUITE 208
CHICAGO, IL
ZIP 60653-514
Phone: (312) 747-0036
Fax: (312) 747-2208
The enumeration date for this NPI number is 6/30/2010 and was last updated on 6/30/2010.