Individual
MRS. JENNIFER OLLIE GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12610 S THROOP ST, CALUMET PARK, IL 60827-6115
(773) 715-5167
Mailing address
12610 S THROOP ST, CALUMET PARK, IL 60827-6115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010639
IL
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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