Individual
MRS. JENIFER CORINNE KOROTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6778 N NORTHWEST HWY # 3, CHICAGO, IL 60631-1314
(773) 683-2781
Mailing address
3339 W LE MOYNE ST, CHICAGO, IL 60651-2452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.006913
IL
101YP2500X
Professional Counselor
Primary
180008029
IL
Other
Enumeration date
05/02/2011
Last updated
12/02/2020
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