Individual
MS. JANE BALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
1428 W JONQUIL TER APT 1W, CHICAGO, IL 60626-1259
(630) 205-6884
Mailing address
1428 W JONQUIL TER APT 1W, CHICAGO, IL 60626-1259
(630) 205-6884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007590
IL
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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