Individual
JENNIFER MACHONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5101 WASHINGTON ST STE 2F, GURNEE, IL 60031-2986
(847) 748-0469
Mailing address
1302 FRANKLIN AVE, WINTHROP HARBOR, IL 60096-1830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016613
IL
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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