Jisun Rebecca Chung
Jisun Rebecca Chung is a Mental Health Counselor in Waukegan, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor.
- Years since qualifying
- 4
- In the registry since
- 2021
Practice location Address checks out
671 S Lewis AveWaukegan, IL 60085-6101
Phone: (847) 782-4048
Fax: (847) 782-1030
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1871183376 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2021 |
| Last updated in NPPES | January 19, 2021 |
| Certification date | January 19, 2021 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Waukegan
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Carleton Childs, BA
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Jerome Clark
671 S Lewis Ave, Waukegan, IL 60085-6101 · (847) 782-4000
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