Individual provider · Type 1 NPI

Faith Jefferson

Addiction (Substance Use Disorder) Counselor · Chicago, IL

NPI number 1871995217 Active

Practice location

9453 S Ashland Ave, Suite 14
Chicago, IL 60620-5146

Call (773) 238-5555 Map

Fax (773) 238-5533

Mailing address

6639 S Ingleside Ave, Apt. 1
Chicago, IL 60637-4265

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871995217

Faith Jefferson's National Provider Identifier is 1871995217, issued on Sep 17, 2014. 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 Sep 17, 2014.