Individual
JESSICA GRACE COORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2930 N SHERIDAN RD APT 1807, CHICAGO, IL 60657-5977
(480) 239-8934
Mailing address
2930 N SHERIDAN RD APT 1807, CHICAGO, IL 60657-5977
(480) 239-8934
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008179
IL
Other
Enumeration date
04/23/2018
Last updated
01/21/2024
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