Individual
MRS. JESSICA RACHEL WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
708 CHURCH ST, SUITE 221, EVANSTON, IL 60201-3875
(312) 371-1448
Mailing address
3011 N DAMEN AVE UNIT 1, CHICAGO, IL 60618-8216
(312) 371-1448
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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