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Jodi Randle
Professional Counselor in Chicago, Illinois
NPI 1588134340

Jodi Randle is a Professional Counselor based in Chicago, IL and is specialized in Professional. Jodi Randle practices in Chicago, IL. The NPI Number for Jodi Randle is 1588134340 and holds a License No. 33845 (Illinois).

The current practice location address for Jodi Randle is 737 W Cornelia Ave Unit G, Chicago, IL and can be reached out via phone at 773-818-5875.

Location: 737 W Cornelia Ave Unit G, Chicago, IL, 60657-2459
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Provider Profile Details
NPI Number
1588134340
Provider Name
Jodi Randle
Credential
Provider Entity Type
Individual
Gender
Female
Address
737 W Cornelia Ave Unit G, Chicago, IL, 60657-2459
Phone Number
773-818-5875
Fax Number
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
737 W Cornelia Ave Unit G
City
State
Zip
60657-2459
Phone Number
773-818-5875
Fax Number
person
Provider Business Mailing Address Details
Address
737 W Cornelia Ave Unit G
City
State
Zip
60657-2459
Phone Number
773-818-5875
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
178.013030 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
33845 (Illinois)
Definition
Definition to come...
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