Individual
AMANDA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6601 NORTH AVE, OAK PARK, IL 60302-1005
(708) 887-9809
Mailing address
425 HOME AVE APT 3E, OAK PARK, IL 60302-3723
(508) 362-0661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180009382
IL
Other
Enumeration date
03/30/2015
Last updated
11/25/2024
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