Individual
JAISEN A THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
18 W LE MOYNE AVE, LOMBARD, IL 60148-1626
(832) 841-0322
Mailing address
18 W LE MOYNE AVE, LOMBARD, IL 60148-1626
(832) 841-0322
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC01162000
NJ
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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