MRS. BETTY JEAN LOFTON


Address: 5938 W. Midway Park, Chicago, IL 60644
Phone: 7732612388

MRS. BETTY JEAN LOFTON (NPI# 1417198342) 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) 1417198342
Entity Type Individual
Full Name MRS. BETTY JEAN LOFTON
Credential LCPC
Practice Address 5938 W. Midway Park
Chicago
IL 60644
Practice Telephone 7732612388
Mailing Telephone 7732612388
Enumeration Date 2009-03-24
Last Update Date 2009-03-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
180-002976 IL Behavioral Health & Social Service Providers

Office Location

Street Address 5938 W. MIDWAY PARK
City CHICAGO
State IL
Zip Code 60644

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60644

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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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