Individual
JAQUELINE NICOLE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 W WASHINGTON ST STE 1500, CHICAGO, IL 60602-3219
(773) 980-9679
Mailing address
77 W WASHINGTON ST STE 1500, CHICAGO, IL 60602-3219
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/07/2024
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