Individual
JACOB J KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JD, MA
Contact information
Practice address
345 W FULLERTON PKWY APT 1304, CHICAGO, IL 60614-4865
(312) 543-9034
Mailing address
345 W FULLERTON PKWY APT 1304, CHICAGO, IL 60614-4865
(312) 543-9034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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