Individual
MS. JELISA D POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5349 N WINTHROP AVE # 2, CHICAGO, IL 60640-2309
(312) 298-9402
Mailing address
1425 N LOREL AVE, CHICAGO, IL 60651-1351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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