Organization
ORLAND PARK COUNSELORS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MICHAEL JENKINS LCPC (PRESIDENT)
(708) 275-0934
Entity
Organization
Contact information
Practice address
7021 W 153RD ST STE 5, ORLAND PARK, IL 60462-5397
(708) 275-0934
Mailing address
PO BOX 764, MANTENO, IL 60950-0764
(708) 275-0934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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