Individual
MS. JAMIE LYNN TUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
2106 W CORTEZ ST UNIT 3, CHICAGO, IL 60622-3601
(312) 568-9262
Mailing address
2106 W CORTEZ ST UNIT 3, CHICAGO, IL 60622-3601
(312) 568-9262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.010973
IL
101YP2500X
Professional Counselor
180.010973
IL
106H00000X
Marriage & Family Therapist
Primary
180.010973
IL
Other
Enumeration date
12/31/2014
Last updated
04/10/2019
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