Individual provider · Type 1 NPI
Jennis Stopka
Professional Counselor · Chicago, IL
NPI number
1104028166
Active
Practice location
2637 W Rice St, #2
Chicago, IL 60622-4541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178003545 (IL) |
| Professional Counselor | 101YP2500X | 180.008273 (IL) |
Professional Counselor: Definition to come...
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About NPI 1104028166
Jennis Stopka's National Provider Identifier is 1104028166, issued on Jun 1, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Nov 2, 2012.