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Lisa Renee Jenkins
Mental Health Counselor in Homewood, Illinois
NPI 1316664998

Lisa Renee Jenkins is a Mental Health Counselor based in Homewood, IL and is specialized in Mental Health. Lisa Renee Jenkins practices in Homewood, IL. The NPI Number for Lisa Renee Jenkins is 1316664998 and holds a License No. (Illinois).

The current practice location address for Lisa Renee Jenkins is 905 175Th Street 3Rd Floor, Homewood, IL and can be reached out via phone at 708-426-8920.

Location: 905 175Th Street 3Rd Floor, Homewood, IL, 60430-2076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316664998
Provider Name
Lisa Renee Jenkins
Credential
Provider Entity Type
Individual
Gender
Female
Address
905 175Th Street 3Rd Floor, Homewood, IL, 60430-2076
Phone Number
708-426-8920
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
905 175Th Street 3Rd Floor
City
Homewood
State
Illinois
Zip
60430
Phone Number
708-426-8920
Fax Number
person
Provider Business Mailing Address Details
Address
905 175Th Street 3Rd Floor
City
Homewood
State
Illinois
Zip
60430
Phone Number
708-426-8920
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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