Individual
JIMENA INES ESCURRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
825 GREEN BAY RD STE 200, WILMETTE, IL 60091-2500
(847) 251-6630
Mailing address
PO BOX 613, CHANNAHON, IL 60410-0613
(815) 521-1889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009360
IL
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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