Individual provider · Type 1 NPI
Jenifer Corinne Korotko, LCPC
Professional Counselor · Chicago, IL
NPI number
1245521780
Active
Practice location
6778 N Northwest Hwy # 3
Chicago, IL 60631-1314
Mailing address
3339 W Le Moyne St
Chicago, IL 60651-2452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178.006913 (IL) |
| Professional Counselor Primary | 101YP2500X | 180008029 (IL) |
Professional Counselor: Definition to come...
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About NPI 1245521780
Jenifer Corinne Korotko, LCPC's National Provider Identifier is 1245521780, issued on May 2, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Dec 2, 2020.