Individual provider · Type 1 NPI

Jack E. Leahy

Professional Counselor · Chicago, IL

NPI number 1457996795 Active

Practice location

311 W Superior St Ste 402
Chicago, IL 60654-3537

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178018529 (IL)

Professional Counselor: Definition to come...

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About NPI 1457996795

Jack E. Leahy's National Provider Identifier is 1457996795, issued on Nov 11, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Mar 9, 2023.