Individual
JACOB MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
5600 N RIDGE AVE, CHICAGO, IL 60660-0097
(630) 414-7507
Mailing address
5600 N RIDGE AVE, CHICAGO, IL 60660-0097
(630) 414-7506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180016971
IL
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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