SearchIllinois101YP2500X

Jean Threatt, LCPC, BCPC

NPI 1881066488 · on the registry since 2015 · sole proprietor

Practice

Address
627 E 100th St
Chicago, IL 60628
Phone
(773) 918-6100
Fax
(773) 778-9235

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois