Individual provider · Type 1 NPI

Janine Marie Phan, MA, LPC

Mental Health Counselor · Oak Park, IL

NPI number 1801404348 Active

Practice location

1010 Lake St Ste 500
Oak Park, IL 60301-1135

Mailing address

1020 W Lawrence Ave Apt 531
Chicago, IL 60640-5007

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.015014 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1801404348

Janine Marie Phan, MA, LPC's National Provider Identifier is 1801404348, issued on Jul 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oak Park, IL. The record was last updated on Jul 21, 2020.