Individual
MRS. ELVIA JARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2246 W LAWRENCE AVE, CHICAGO, IL 60625-1929
(773) 691-8657
(773) 271-6780
Mailing address
2246 W LAWRENCE AVE, CHICAGO, IL 60625-1929
(773) 691-8657
(773) 271-6780
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.005188
IL
Other
Enumeration date
08/11/2010
Last updated
09/30/2010
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