Individual
JAMILLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
(224) 509-5510
Mailing address
2211 E 87TH ST APT 1A, CHICAGO, IL 60617-3018
(224) 509-5510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180013819
IL
101YP2500X
Professional Counselor
89274
TX
Other
Enumeration date
02/11/2020
Last updated
10/13/2022
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