Individual
JADE ALEXANDRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5131 N LINCOLN AVE FL 1, CHICAGO, IL 60625-2585
(847) 730-6340
Mailing address
5131 N LINCOLN AVE FL 1, CHICAGO, IL 60625-2585
(847) 730-6340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.019241
IL
Other
Enumeration date
08/28/2023
Last updated
08/30/2023
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