person
Jiselle Roman, LCPC
Professional Counselor in Chicago Ridge, Illinois
NPI 1750703583

Jiselle Roman is a Professional Counselor based in Oak Lawn, IL and is specialized in Professional. Jiselle Roman practices in Chicago Ridge, IL and has the professional credentials of LCPC. The NPI Number for Jiselle Roman is 1750703583 and holds a License No. 178.007483 (Illinois).

The current practice location address for Jiselle Roman is 10720 Princess Ave, Chicago Ridge, IL and can be reached out via phone at 773-627-7914 and via fax at 708-575-6527.

Location: 10720 Princess Ave, Chicago Ridge, IL, 60453-3137
person
Provider Profile Details
NPI Number
1750703583
Provider Name
Jiselle Roman
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
10720 Princess Ave, Chicago Ridge, IL, 60453-3137
Phone Number
773-627-7914
Fax Number
708-575-6527
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10720 Princess Ave
City
State
Zip
60415-2139
Phone Number
773-627-7914
Fax Number
708-575-6527
person
Provider Business Mailing Address Details
Address
10720 Princess Ave
City
State
Zip
60415-2139
Phone Number
773-627-7914
Fax Number
708-575-6527
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2388551 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
178.007483 (Illinois)
Definition
Definition to come...
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