Individual provider · Type 1 NPI
Mary Jessica Henry, CADC
Addiction (Substance Use Disorder) Counselor · Chicago, IL
NPI number
1629744693
Active
Practice location
405 N Wabash Ave Unit 4009
Chicago, IL 60611-5684
Mailing address
1927 S Racine Ave Apt 2
Chicago, IL 60608-3246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1629744693
Mary Jessica Henry, CADC's National Provider Identifier is 1629744693, issued on Aug 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Aug 19, 2021.