Individual provider · Type 1 NPI
Ebony Louise Jiminez Lee
Professional Counselor · Park Ridge, IL
NPI number
1891236774
Active
Practice location
3 S Prospect Ave
Park Ridge, IL 60068-4177
Mailing address
7434 N Campbell Ave
Chicago, IL 60645-1649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.010715 (IL) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1891236774
Ebony Louise Jiminez Lee's National Provider Identifier is 1891236774, issued on Mar 13, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Park Ridge, IL. The record was last updated on Mar 13, 2017.