Individual
JILL DANIELLE JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LCPC ART-BC
Contact information
Practice address
4256 N RAVENSWOOD AVE, SUITE 214, CHICAGO, IL 60613-1110
(614) 442-1561
Mailing address
4256 N RAVENSWOOD AVE, SUITE 214, CHICAGO, IL 60613-1110
(614) 442-1561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-005848
IL
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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