Individual provider · Type 1 NPI

Jamesa Pruitt

Professional Counselor · Chicago, IL

NPI number 1104585306 Active

Practice location

6303 N Clark St
Chicago, IL 60660-1203

Mailing address

7101 N Cicero Ave Ste 202
Lincolnwood, IL 60712-2143

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178017138 (IL)

Professional Counselor: Definition to come...

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About NPI 1104585306

Jamesa Pruitt's National Provider Identifier is 1104585306, issued on Dec 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Dec 17, 2021.