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
ZIP Code
60185-3901
Phone
(630) 779-0972

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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