JENNIFER LARA

CHICAGO, IL
NPI1700115268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  180.007386)
Enumeration Date2009-12-12
Last Update Date2010-07-29
Business Address
-- JENNIFER LARA LCPC
10725 S WESTERN AVE 2ND FLOOR
CHICAGO, IL 60643-3135
Phone number: 773-251-8016
Mailing Address
-- JENNIFER LARA LCPC
3770 W 75TH PL
CHICAGO, IL 60652-1337
Phone number: 773-251-8016
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