JORDAN SEVILLE HENDERSON

CHICAGO, IL
NPI1811759244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178.018592)
Enumeration Date2024-01-30
Last Update Date2024-01-30
Business Address
JORDAN SEVILLE HENDERSON LPC
1105 S WESTERN AVE
CHICAGO, IL 60612-4146
Phone number: 773-677-6349
Mailing Address
JORDAN SEVILLE HENDERSON LPC
5858 W FULLERTON AVE APT 205
CHICAGO, IL 60639-2362
Phone number: 773-677-6349
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