Individual
JENNA ELIZABETH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 W MONTROSE AVE STE 302, CHICAGO, IL 60618-1674
(773) 655-3241
Mailing address
2650 W MONTROSE AVE STE 302, CHICAGO, IL 60618-1674
(773) 655-3241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180012181
IL
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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