Individual provider · Type 1 NPI

Jennifer Latrice Randle

Mental Health Counselor · Burr Ridge, IL

NPI number 1285319376 Active

Practice location

745 Mcclintock Dr Ste 100
Burr Ridge, IL 60527-0863

Mailing address

16W525 Mockingbird Ln Apt 203
Willowbrook, IL 60527-6623

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.018697 (IL)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1285319376

Jennifer Latrice Randle's National Provider Identifier is 1285319376, issued on Jun 16, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burr Ridge, IL. The record was last updated on Jun 16, 2023.