Provider Demographics
NPI:1467834564
Name:CATHY JACKSON SHARPER CLARITY, P.C.
Entity Type:Organization
Organization Name:CATHY JACKSON SHARPER CLARITY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-966-6091
Mailing Address - Street 1:1820 RIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-1760
Mailing Address - Country:US
Mailing Address - Phone:708-966-6091
Mailing Address - Fax:
Practice Address - Street 1:1820 RIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-1760
Practice Address - Country:US
Practice Address - Phone:708-966-6091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006774261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health