Individual
JENAYE BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1770 W BERTEAU AVE STE 304, CHICAGO, IL 60613-6131
(312) 210-0576
Mailing address
1770 W BERTEAU AVE STE 304, CHICAGO, IL 60613-6131
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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