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Individual

MR. GEORGE JEMISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
3033 OGDEN AVE, SUITE 210, LISLE, IL 60532-1673
(877) 443-7030
Mailing address
3033 OGDEN AVE, SUITE 210, LISLE, IL 60532-1673

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.009120
IL

Other

Enumeration date
04/18/2014
Last updated
04/18/2014
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