Individual provider · Type 1 NPI
Kathryn B. Jack, LCPC
Mental Health Counselor · West Chicago, IL
NPI number
1083768642
Active
Practice location
490 E Roosevelt Rd Ste 205
West Chicago, IL 60185-3901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180005428 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1083768642
Kathryn B. Jack, LCPC's National Provider Identifier is 1083768642, issued on Jan 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Chicago, IL. The record was last updated on Dec 20, 2011.