Individual
JALEN COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5128 S MICHIGAN AVE, CHICAGO, IL 60615-3306
(312) 237-0130
Mailing address
PO BOX 805161, CHICAGO, IL 60680-4113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012625
IL
Other
Enumeration date
02/01/2021
Last updated
02/07/2024
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