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Individual

JAMIE LYNN HENRIKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1500 E LINCOLN HWY # 1, DEKALB, IL 60115-3990
(779) 777-7933
Mailing address
1500 E LINCOLN HWY # 1, DEKALB, IL 60115-3990
(779) 777-7933

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180013321
IL

Other

Enumeration date
04/25/2018
Last updated
12/27/2020
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