Individual
DR. JACQUELINE EILEEN ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
6058 S TRIPP AVE, CHICAGO, IL 60629-4925
(773) 993-4238
Mailing address
6058 S TRIPP AVE, CHICAGO, IL 60629-4925
(773) 993-4238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.017419
IL
103TS0200X
School Psychologist
Primary
2417811
IL
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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