Individual
JACQUELINE KIRCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13820 UTICA AVE, ROBBINS, IL 60472-2157
(773) 443-7300
Mailing address
3159 S WELLS ST, CHICAGO, IL 60616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22391
IL
101YP2500X
Professional Counselor
Primary
178011363
IL
Other
Enumeration date
09/29/2015
Last updated
10/09/2015
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