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NPI Code Detail

MEDICARE: JCH COUNSELING, LLC

MEDICARE: JCH COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor180005370IL

General Provider Information

NPI Number : 1699050799
Entity Type Code : Organization
Provider Name (Legal Business Name) : JCH COUNSELING, LLC
Provider Business Mailing Address
First Line : 3047 N LINCOLN AVE UNIT 400
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4274
Country : US
Telephone Number : 630-935-1501
Fax Number :
Provider Business Practice Location Address
First Line : 3047 N LINCOLN AVE UNIT 400
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4274
Country : US
Telephone Number : 630-935-1501
Fax Number :
Authorized Official
Title or Position : THERAPIST/OWNER
Name : MS. JEANINE HOWE
Credential : M.ED.
Telephone Number : 630-935-1501
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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