Lisa Renee Jenkins

NPI #1316664998 in Homewood, Illinois

Provider Information

NPI Number: 1316664998
Entity Type: Individual
Name: Lisa Renee Jenkins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 24, 2022
Last Updated: Oct 24, 2022

Practice Location

Address: 905 175TH STREET 3RD FLOOR
City: Homewood
State: Illinois
ZIP Code: 60430
Phone: (708) 426-8920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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