person
Jordan Seville Henderson, LPC
Mental Health Counselor in Chicago, Illinois
NPI 1811759244

Jordan Seville Henderson is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Jordan Seville Henderson practices in Chicago, IL and has the professional credentials of LPC. The NPI Number for Jordan Seville Henderson is 1811759244 and holds a License No. 178.018592 (Illinois).

The current practice location address for Jordan Seville Henderson is 1105 S Western Ave, Chicago, IL and can be reached out via phone at 773-677-6349.

Location: 1105 S Western Ave, Chicago, IL, 60639-2362
person
Provider Profile Details
NPI Number
1811759244
Provider Name
Jordan Seville Henderson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1105 S Western Ave, Chicago, IL, 60639-2362
Phone Number
773-677-6349
Fax Number
Provider Enumeration Date
01/30/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1105 S Western Ave
City
State
Zip
60612-4146
Phone Number
773-677-6349
Fax Number
person
Provider Business Mailing Address Details
Address
1105 S Western Ave
City
State
Zip
60612-4146
Phone Number
773-677-6349
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.018592 (Illinois)
Definition
Definition to come...
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