Jefferson Park Counseling
Jefferson Park Counseling is a Professional Counselor in Chicago, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5123 W Ainslie StChicago, IL 60630-2304
Phone: (773) 707-5833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1477140283 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Koch — Owner · (773) 707-5833 |
| NPI enumerated | December 28, 2020 |
| Last updated in NPPES | December 28, 2020 |
| Certification date | December 28, 2020 |
| Mailing address | 5123 W Ainslie St, Chicago, IL 60630-2304 |
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