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Jacqueline Anthony
Mental Health Counselor in Chicago Ridge, Illinois
NPI 1396337267

Jacqueline Anthony is a Mental Health Counselor based in Chicago Ridge, IL and is specialized in Mental Health. Jacqueline Anthony practices in Chicago Ridge, IL. The NPI Number for Jacqueline Anthony is 1396337267 and holds a License No. (Illinois).

The current practice location address for Jacqueline Anthony is 5810 107Th Court Way Apt 12, Chicago Ridge, IL and can be reached out via phone at 708-973-9149.

Location: 5810 107Th Court Way Apt 12, Chicago Ridge, IL, 60415-1944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396337267
Provider Name
Jacqueline Anthony
Credential
Provider Entity Type
Individual
Gender
Female
Address
5810 107Th Court Way Apt 12, Chicago Ridge, IL, 60415-1944
Phone Number
708-973-9149
Fax Number
Provider Enumeration Date
02/10/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5810 107Th Court Way Apt 12
City
Chicago Ridge
State
Illinois
Zip
60415-1944
Phone Number
708-973-9149
Fax Number
person
Provider Business Mailing Address Details
Address
5810 107Th Court Way Apt 12
City
Chicago Ridge
State
Illinois
Zip
60415-1944
Phone Number
708-973-9149
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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