JILL DANIELLE JEFFREY


Address: 4256 N Ravenswood Ave, Suite 214, Chicago, IL 60613-1110
Phone: 6144421561

JILL DANIELLE JEFFREY (NPI# 1407281975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407281975
Entity Type Individual
Full Name JILL DANIELLE JEFFREY
Credential M.A. LCPC ART-BC
Practice Address 4256 N Ravenswood Ave
Suite 214
Chicago
IL 60613-1110
Practice Telephone 6144421561
Mailing Telephone 6144421561
Enumeration Date 2013-09-03
Last Update Date 2013-09-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
180-005848 IL Behavioral Health & Social Service Providers

Office Location

Street Address 4256 N RAVENSWOOD AVE
SUITE 214
City CHICAGO
State IL
Zip Code 60613-1110

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60613

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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