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Organization
RETAKE ON LIFE
Active
Organization
RETAKE ON LIFE
Active
Other names
Jamillah Davis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMILLAH DAVIS LCPC (LICENSED CLIN PROF COUNSELOR)
(773) 998-7848
Entity
Organization
Contact information
Practice address
9415 S WESTERN AVE, CHICAGO, IL 60643-6700
(773) 998-7848
Mailing address
8008 S LOOMIS BLVD, CHICAGO, IL 60620-3828
(773) 998-7848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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