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General NPI Number Information
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NPI Number | 1467834564
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Entity Type | Organization
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Legal Business Name | CATHY JACKSON SHARPER CLARITY, P.C.
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 19900 GOVERNORS DR STE 300F
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1059
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Country | US
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Telephone | 708-966-6091
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Fax | 708-585-6222
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Provider Business Mailing Address
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Address Line | 19900 GOVERNORS DR STE 300F
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1059
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Country | US
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Telephone | 708-966-6091
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Fax | 708-585-6222
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | MS. CATHY GAIL JACKSON
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Credential | LCPC
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Telephone | 708-966-6091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 180006774
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License Number State | IL
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