Individual
JENNA MARIE COCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
1010 JORIE BLVD, OAK BROOK, IL 60523-2215
(630) 506-3906
Mailing address
917 OAKWOOD TER, HINSDALE, IL 60521-2840
(847) 253-9769
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009254
IL
Other
Enumeration date
06/23/2011
Last updated
09/08/2022
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