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Contact Information

TAWANN JACKSON, ED.S, NCSP
360 BLAIR LANE
DOOR 13
BOLINGBROOK, IL60615
 Phone: 630-679-1210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TAWANN JACKSON · (Female)

NPI Number 1710404496
Status Active
Credentials ED.S, NCSP
Entity Individual
Enumeration date 08/24/2017
Last updated 08/24/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 2403396
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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