Martina Shauntae Jackson is a Chicago, Illinois based counselor who is specialized as Professional Counselor. Active license number of Martina Shauntae Jackson is 178.014194 for Professional Counselor in Illinois. Her current practice location is 2008 N Lawler Ave, Chicago. Patients can book an appointment with her at 708-860-1201.
Martina Shauntae Jackson is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Martina Shauntae Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Martina Shauntae Jackson
Specialization:
Professional Counselor
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
2008 N Lawler Ave, Chicago, Illinois, 60639-3136
Phone:
708-860-1201
Fax:
708-221-6679
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1871114215
NPI Enumeration Date:
27 Apr, 2020
NPI Last Update On:
27 Apr, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Martina Shauntae Jackson are as mentioned below.
License Number
Specialization
State
Status
178.014194
Professional Counselor
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Martina Shauntae Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
178.014194
Other
Illinois
LICENSED PROFESSIONAL COUNSELOR
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2008 N Lawler Ave, Chicago, Illinois
Zip:
60639-3136
Phone Number:
708-860-1201
Fax Number:
708-221-6679
Patients can reach Martina Shauntae Jackson at 2008 N Lawler Ave, Chicago, Illinois or can call to book an appointment on 708-860-1201. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.