Jenna Nicole Bahaj

NPI #1700194719 in Pekin, Illinois

Provider Information

NPI Number: 1700194719
Entity Type: Individual
Name: Jenna Nicole Bahaj
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 24, 2010
Last Updated: Dec 9, 2010

Practice Location

Address: 3248 VANDEVER AVENUE
City: Pekin
State: Illinois
ZIP Code: 61554
Phone: (309) 347-5579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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