Individual
MS. JENNIFER L BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, PHD
Contact information
Practice address
6104 S. WOODLAWN AVE, #410, CHICAGO, IL 60637
(773) 752-1945
Mailing address
6601 S. KIMBARK AVE #3, CHICAGO, IL 60637
(770) 312-4637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.07112
IL
101YP2500X
Professional Counselor
Primary
180.008427
IL
Other
Enumeration date
03/10/2011
Last updated
08/15/2014
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