Julia Jordan-Lake
NPI #1447880513 in Forest Park, Illinois
Provider Information
- NPI Number
- 1447880513
- Entity Type
- Individual
- Name
- Julia Jordan-Lake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 17, 2020
- Last Updated
- Jan 20, 2020
Practice Location
- Address
- 7421 MADISON ST
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-1575
- Phone
- (615) 975-2774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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