person
Mr. Jerry Davis-el, CADC
Addiction (Substance Use Disorder) Counselor in Chicago, Illinois
NPI 1841796992

Jerry Davis-el is an Addiction (Substance Use Disorder) Counselor based in Chicago, IL and is specialized in Addiction (Substance Use Disorder). Jerry Davis-el practices in Chicago, IL and has the professional credentials of CADC. The NPI Number for Jerry Davis-el is 1841796992 and holds a License No. 29962 (Illinois).

The current practice location address for Jerry Davis-el is 33 E 114Th St, Chicago, IL and can be reached out via phone at 773-660-4630 and via fax at 773-660-4650.

Location: 33 E 114Th St, Chicago, IL, 60661-5603
person
Provider Profile Details
NPI Number
1841796992
Provider Name
Jerry Davis-el
Credential
CADC
Provider Entity Type
Individual
Gender
Male
Address
33 E 114Th St, Chicago, IL, 60661-5603
Phone Number
773-660-4630
Fax Number
773-660-4650
Provider Enumeration Date
04/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
33 E 114Th St
City
State
Zip
60628-4921
Phone Number
773-660-4630
Fax Number
773-660-4650
person
Provider Business Mailing Address Details
Address
33 E 114Th St
City
State
Zip
60628-4921
Phone Number
773-660-4630
Fax Number
773-660-4650
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
29962 (Illinois)
Definition
Definition to come...
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