NPI 1124853064 · live from the CMS NPI Registry
Jenaye Beavers
Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1124853064, active.
NPI record
| NPI | 1124853064 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 1770 W Berteau Ave Ste 304, Chicago, IL 60613 |
| Practice phone | 312-210-0576 |
| Enumerated | September 2, 2024 |
| Last updated | September 2, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.