Individual
JENNIFER GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC
Contact information
Practice address
201 E HURON ST STE 11-100, CHICAGO, IL 60611-2968
(312) 860-0480
(312) 926-3709
Mailing address
2220 HARTZELL ST, EVANSTON, IL 60201-1424
(312) 860-0480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
27727
IL
101YP2500X
Professional Counselor
Primary
180008877
IL
Other
Enumeration date
04/29/2014
Last updated
05/30/2019
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