Individual
JEMIMA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4747 N KEDZIE AVE, CHICAGO, IL 60625-4420
(312) 666-3494
(773) 267-2175
Mailing address
4747 N KEDZIE AVE, CHICAGO, IL 60625-4420
(312) 666-3494
(773) 267-2175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
180-010994
IL
Other
Enumeration date
01/03/2013
Last updated
09/12/2018
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