Individual
MS. JAMIE RACINE LAFEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2311 N KIMBALL AVE APT 1, CHICAGO, IL 60647-2431
(312) 736-2179
Mailing address
2311 N KIMBALL AVE APT 1, CHICAGO, IL 60647-2431
(312) 736-2179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180012245
IL
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
IL
Other
Enumeration date
10/17/2011
Last updated
03/08/2023
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