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Jacques Gourguechon, Lpc
Community/Behavioral Health Agency in Chicago, Illinois
NPI 1730567207

Jacques Gourguechon, Lpc is a Community/Behavioral Health Agency based in Chicago, IL. Jacques Gourguechon, Lpc practices in Chicago, IL. The NPI Number for Jacques Gourguechon, Lpc is 1730567207 and holds a License No. 178.010830 (Illinois).

The current practice location address for Jacques Gourguechon, Lpc is 1454 W Farragut Ave, Chicago, IL and can be reached out via phone at 312-203-9211.

Location: 1454 W Farragut Ave, Chicago, IL, 60640-2104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730567207
Provider Name
Jacques Gourguechon, Lpc
Credential
Provider Entity Type
Organization
Address
1454 W Farragut Ave, Chicago, IL, 60640-2104
Phone Number
312-203-9211
Fax Number
Provider Enumeration Date
05/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1454 W Farragut Ave
City
Chicago
State
Illinois
Zip
60640-2104
Phone Number
312-203-9211
Fax Number
person
Provider Business Mailing Address Details
Address
1454 W Farragut Ave
City
Chicago
State
Illinois
Zip
60640-2104
Phone Number
312-203-9211
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
178.010830 (Illinois)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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