Individual
JENEANE KRISCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(773) 593-5013
Mailing address
2405 SIOUX AVE, WOODRIDGE, IL 60517-2310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178010988
—
101YP2500X
Professional Counselor
Primary
180011161
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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