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Organization
JENS HUSSEY LLC
Active
Organization
JENS HUSSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENS HUSSEY LCPC (OWNER)
(708) 308-4149
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, STE 1719, CHICAGO, IL 60602-1708
(708) 308-4149
Mailing address
25 E WASHINGTON ST STE 1719, SUITE R, CHICAGO, IL 60602-1708
(708) 308-4149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30569 CADC
IL
101YM0800X
Mental Health Counselor
180.008539
IL
101YP2500X
Professional Counselor
178.007150
IL
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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