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Organization

JAN PARKER, MFA, MA, LCPC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANIS LYNN PARKER MA, LCPC (MENTAL HEALTH THERAPIST)
(479) 462-9133
Entity
Organization

Contact information

Practice address
4043 N RAVENSWOOD AVE STE 306B, CHICAGO, IL 60613-5683
(479) 462-9133
Mailing address
4725 N LINCOLN AVE APT 2C, CHICAGO, IL 60625-2062
(479) 462-9133

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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