Individual
JADE MARIE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
501 DAVIS ST, EVANSTON, IL 60201-4619
(312) 815-9660
Mailing address
940 W CULLOM AVE, CHICAGO, IL 60613-1619
(773) 525-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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