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Jonah Stevenson

Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).

NPI number1962048934
StatusActive
Last updated in NPPESMay 6, 2024

Details

NPI
1962048934
Entity type
Individual (NPI-1)
Name
Jonah Stevenson
Sex
Male
Sole proprietor
No
Enumeration date
Nov 25, 2019
Certification date
Mar 29, 2022
Last updated
May 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical149.027137ILYes

Practice location

155 N Michigan Ave Ste 450
Chicago, IL 60601-7939

Phone 317-603-7753

Mailing address

155 N Michigan Ave Ste 450
Chicago, IL 60601-7939

Phone 872-395-8091

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