Organization
JKOROTKO COUNSELING AND ART THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER CORINNE KOROTKO ATR, LCPC (THERAPIST AND FOUNDER)
(773) 683-2781
Entity
Organization
Contact information
Practice address
2858 W DIVERSEY AVE, CHICAGO, IL 60647-1871
(773) 683-2781
Mailing address
2858 W DIVERSEY AVE, CHICAGO, IL 60647-1871
(773) 683-2781
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008029
IL
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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