Individual
FAITH JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9453 S ASHLAND AVE, SUITE 14, CHICAGO, IL 60620-5146
(773) 238-5555
(773) 238-5533
Mailing address
6639 S INGLESIDE AVE, APT. 1, CHICAGO, IL 60637-4265
(773) 425-1196
(773) 238-5555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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