Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON MANCUSO, LPC
ActiveJACKSON MANCUSO, LPC is a Professional Counselor healthcare provider located in LAKE FOREST, Illinois. NPI 1780406512 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LAKE FOREST, IL
Registration Details
- NPI Number
- 1780406512
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2024 (1.7576269668734 yrs)
- Last Updated
- Oct 31, 2024
- License
-
178.020916 (IL)
Practice Information
- Address
-
1 WESTMINSTER PL STE 101LAKE FOREST, IL, 600455511Browse IL providers · Browse ZIP 60045
- Phone
- 8479199096
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in LAKE FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| MISS JILL SUZANNE KRELLER | LCPC | 1982836177 |
| JENNIFER ANN DANIELS | MA | 1841423381 |
| ANGELA SELVAGGIO | — | 1104267202 |
| MELISSA M CARAVA | LCPC | 1093171274 |
| RENEE FOX | — | 1306553326 |
| MRS. AMANDA MARIE HIGGINBOTHAM | MA, LPC | 1831875517 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.