Individual
JENNIFER AMELIA STEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10801 S WESTERN AVE STE 2B, CHICAGO, IL 60643-3225
(708) 586-7357
(773) 253-8410
Mailing address
2018 W 101ST PL, CHICAGO, IL 60643-2071
(773) 799-4357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015929
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-1904908
—
IL
Enumeration date
05/10/2020
Last updated
05/10/2020
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