IndividualActive
Jackie Skinner, BA
NPI 1104104983 · Mental Health Counselor · Broadview, IL
Provider details
- NPI number
- 1104104983
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1820 S 25th Ave
Broadview, IL 60155-2864
Phone: (708) 338-3806
Fax: (708) 410-0744
Approximate (ZIP-level) locationGet directions
Mailing address
1820 S 25th Ave
Broadview, IL 60155-2864
Registry dates
- Enumerated
- 2011-07-28
- Last updated
- 2011-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.