person
Ms. Jennifer Latrice Randle
Mental Health Counselor in Burr Ridge, Illinois
NPI 1285319376

Jennifer Latrice Randle is a Mental Health Counselor based in Willowbrook, IL and is specialized in Mental Health. Jennifer Latrice Randle practices in Burr Ridge, IL. The NPI Number for Jennifer Latrice Randle is 1285319376 and holds a License No. 178.018697 (Illinois).

The current practice location address for Jennifer Latrice Randle is 745 Mcclintock Dr Ste 100, Burr Ridge, IL and can be reached out via phone at 708-347-1776. You can also correspond with Jennifer Latrice Randle through the mailing address at 16W525 MOCKINGBIRD LN APT 203, WILLOWBROOK, IL - 60527-6623 (mailing address contact number: 708-347-1776).

Location: 745 Mcclintock Dr Ste 100, Burr Ridge, IL, 60527-6623
person
Provider Profile Details
NPI Number
1285319376
Provider Name
Jennifer Latrice Randle
Credential
Provider Entity Type
Individual
Gender
Female
Address
745 Mcclintock Dr Ste 100, Burr Ridge, IL, 60527-6623
Phone Number
708-347-1776
Fax Number
Provider Enumeration Date
06/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
745 Mcclintock Dr Ste 100
City
State
Zip
60527-0863
Phone Number
708-347-1776
Fax Number
person
Provider Business Mailing Address Details
Address
745 Mcclintock Dr Ste 100
City
State
Zip
60527-0863
Phone Number
708-347-1776
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.018697 (Illinois)
Definition
Definition to come...
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