Kathryn B Jack, LCPC
NPI #1083768642 in West Chicago, Illinois
Provider Information
- NPI Number
- 1083768642
- Entity Type
- Individual
- Name
- Kathryn B Jack, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Dec 20, 2011
Practice Location
- Address
- 490 E ROOSEVELT RD STE 205
- City
- West Chicago
- State
- Illinois
- ZIP Code
- 60185-3901
- Phone
- (630) 779-0972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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