person
Kathryn B Jack, LCPC
Mental Health Counselor in West Chicago, Illinois
NPI 1083768642

Kathryn B Jack is a Mental Health Counselor based in West Chicago, IL and is specialized in Mental Health. Kathryn B Jack practices in West Chicago, IL and has the professional credentials of LCPC. The NPI Number for Kathryn B Jack is 1083768642 and holds a License No. 180005428 (Illinois).

The current practice location address for Kathryn B Jack is 490 E Roosevelt Rd Ste 205, West Chicago, IL and can be reached out via phone at 630-779-0972.

Location: 490 E Roosevelt Rd Ste 205, West Chicago, IL, 60185-3901
person
Provider Profile Details
NPI Number
1083768642
Provider Name
Kathryn B Jack
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
490 E Roosevelt Rd Ste 205, West Chicago, IL, 60185-3901
Phone Number
630-779-0972
Fax Number
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
490 E Roosevelt Rd Ste 205
City
State
Zip
60185-3901
Phone Number
630-779-0972
Fax Number
person
Provider Business Mailing Address Details
Address
490 E Roosevelt Rd Ste 205
City
State
Zip
60185-3901
Phone Number
630-779-0972
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180005428 (Illinois)
Definition
Definition to come...
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