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Individual

MS. CARRIE L JAMESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8707 SKOKIE BLVD, SUITE 216, SKOKIE, IL 60077-2269
(312) 371-2646
Mailing address
8707 SKOKIE BLVD, SUITE 216, SKOKIE, IL 60077-2269
(312) 371-2646

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.008022
IL
101YM0800X
Mental Health Counselor
178.008022
IL
101YP2500X
Professional Counselor
178.008022
IL

Other

Enumeration date
05/15/2012
Last updated
06/26/2012
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