Individual provider · Type 1 NPI

Jamille Edwards

Professional Counselor · Chicago, IL

NPI number 1073145702 Active

Practice location

840 W Irving Park Rd Ste 302
Chicago, IL 60613-3011

Mailing address

2211 E 87th St Apt 1A
Chicago, IL 60617-3018

Other practice locations

  • 6300 West Loop S Ste 110, Bellaire, TX 77401-2919 · (832) 924-0348

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X89274 (TX)
Professional Counselor Primary 101YP2500X180013819 (IL)

Professional Counselor: Definition to come...

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About NPI 1073145702

Jamille Edwards's National Provider Identifier is 1073145702, issued on Feb 11, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Oct 13, 2022.