Individual
JANTELLE R HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSSP
Contact information
Practice address
9417 S MAY ST, CHICAGO, IL 60620-3647
(773) 710-8928
Mailing address
9417 S MAY ST, CHICAGO, IL 60620-3647
(773) 710-8928
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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