Individual
DANIEL JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
641 W 63RD ST, CHICAGO, IL 60621-2032
(312) 747-7496
(312) 747-3674
Mailing address
641 W 63RD ST, CHICAGO, IL 60621-2032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003846
IL
Other
Enumeration date
06/17/2010
Last updated
01/08/2015
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