Most Relevant Information
Provider Data
| NPI Number: | 1003228578 |
| Provider Name: | JENNIFER ASHLEY BAKER LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180.009174 |
Most Important Dates
| Enumeration Date: | 06/02/2014 |
| Last Updated: | 04/04/2016 |
Provider Practice Location
1122 W CATALPA AVE
1E
CHICAGO
IL
606401472
Practice Location Phone/Fax
| Phone: | 3128578473 |
| Fax: | 3129403842 |
Provider Mailing Location
2928 W WILCOX ST
CHICAGO
IL
606123610
Provider Mailing Phone/Fax
| Phone: | 3144029720 |
| Fax: |