Organization
CARRIE JAMESON LCPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE L JAMESON LCPC (OWNER)
(312) 371-2646
Entity
Organization
Contact information
Practice address
561 W DIVERSEY PKWY STE 214, CHICAGO, IL 60614-1682
(312) 371-2646
Mailing address
519 W SURF ST APT 2, CHICAGO, IL 60657-6014
(312) 371-2646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/03/2018
Last updated
04/13/2018
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