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Individual

JESSICA EUN CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, ATR

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.019237
IL
221700000X
Art Therapist
22-360
IL

Other

Enumeration date
02/23/2024
Last updated
02/23/2024
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