Jackson, Kiyana

Jackson, Kiyana is an sole proprietor health care provider with primary practice located at 1175 Lily Cache Ln , Bolingbrook IL 60490-3122. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Kiyana can be contacted via phone (815) 290-9048.

Contact Information

Primary practice address
1175 Lily Cache Ln Bolingbrook IL 60490-3122
Phone: (815) 290-9048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.009857 Illinois

Profile Details

NPI number 1528414976
LBN Legal business name Jackson, Kiyana
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2016
Last updated May 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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