Individual
MS. JENNIFER A SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCPC
Contact information
Practice address
2656 W MONTROSE, #101, CHICAGO, IL 60625
(773) 461-0233
Mailing address
5048 N BERNARD ST, CHICAGO, IL 60625
(773) 671-6611
(773) 593-3648
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633264
BLUE CROSS
—
01
—
7448685
AETNA
—
Enumeration date
04/11/2007
Last updated
07/08/2007
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