Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 180008735 | IL |
N | 101YM0800X | Mental Health Counselor | 180008735 | IL |
Y | 101YP2500X | Professional Counselor | 180008735 | IL |
NPI | 1003387952 |
---|---|
Provider Name | Dr. Jeffrey Glen Strozier |
First Address | Chicago, IL 60613-3946 |
Second Address | Chicago, IL 60613-5974 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2018 |
Last Update Date | 17/12/2018 |