person
Julia Jordan-lake
Mental Health Counselor in Forest Park, Illinois
NPI 1447880513

Julia Jordan-lake is a Mental Health Counselor based in Oak Park, IL and is specialized in Mental Health. Julia Jordan-lake practices in Forest Park, IL. The NPI Number for Julia Jordan-lake is 1447880513 and holds a License No. 178.015637 (Illinois).

The current practice location address for Julia Jordan-lake is 7421 Madison St, Forest Park, IL and can be reached out via phone at 615-975-2774.

Location: 7421 Madison St, Forest Park, IL, 60302-2378
person
Provider Profile Details
NPI Number
1447880513
Provider Name
Julia Jordan-lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
7421 Madison St, Forest Park, IL, 60302-2378
Phone Number
615-975-2774
Fax Number
Provider Enumeration Date
01/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7421 Madison St
City
State
Zip
60130-1575
Phone Number
615-975-2774
Fax Number
person
Provider Business Mailing Address Details
Address
7421 Madison St
City
State
Zip
60130-1575
Phone Number
615-975-2774
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.015637 (Illinois)
Definition
Definition to come...
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