Individual
JENNIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2200 LAKE VICTORIA DR, SPRINGFIELD, IL 62703-5596
(217) 529-9266
Mailing address
55 E JACKSON BLVD STE 1500, CHICAGO, IL 60604-4137
(312) 663-1130
(312) 663-0504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178013380
IL
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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