Individual
MARY JESSICA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
405 N WABASH AVE UNIT 4009, CHICAGO, IL 60611-5684
(312) 755-7000
Mailing address
1927 S RACINE AVE APT 2, CHICAGO, IL 60608-3246
(847) 809-5311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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