Individual
JAMISON KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3660 N LAKE SHORE DR STE 201, CHICAGO, IL 60613-5302
(773) 759-5126
Mailing address
3660 N LAKE SHORE DR STE 201, CHICAGO, IL 60613-5302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
013024
IL
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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