Individual
JESSICA MAYANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 W IRVING PARK RD, CHICAGO, IL 60634-2437
(773) 777-7112
(773) 777-7059
Mailing address
6417 W IRVING PARK RD, CHICAGO, IL 60634-2437
(773) 777-7112
(773) 777-7059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007924
IL
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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