Individual
MRS. EDITH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S ATKINSON RD STE 202, GRAYSLAKE, IL 60030-7819
(847) 309-4841
Mailing address
13099 W YORKSHIRE LN, BEACH PARK, IL 60083-3019
(224) 730-1966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20814
IL
101YP2500X
Professional Counselor
Primary
178.005655
IL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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