Most Relevant Information
Provider Data
| NPI Number: | 1003392077 |
| Provider Name: | JENNY X LEMUS LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180011708 |
Most Important Dates
| Enumeration Date: | 07/12/2018 |
| Last Updated: | 04/10/2019 |
Provider Practice Location
5612 W 63RD ST OFC 4
CHICAGO
IL
606385514
Practice Location Phone/Fax
| Phone: | 7084065845 |
| Fax: |
Provider Mailing Location
4143 W 59TH ST
CHICAGO
IL
606294946
Provider Mailing Phone/Fax
| Phone: | 7736562102 |
| Fax: |