Individual
JONATHAN MISKEVICS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5210 W 95TH ST STE 201, OAK LAWN, IL 60453-3792
(708) 529-9166
Mailing address
15130 EL CAMENO REAL DR APT 1S, ORLAND PARK, IL 60462-3007
(708) 257-5382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178013026
IL
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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