Individual
MRS. JENNA FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 E LAKE ST, SUITE 222, CHICAGO, IL 60601-5959
(312) 350-2462
Mailing address
70 E LAKE ST, SUITE 222, CHICAGO, IL 60601-5959
(312) 350-2462
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000224
IL
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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