Individual
JACQUELINE CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1579 N MILWAUKEE AVE, CHICAGO, IL 60622-2452
(872) 233-8808
Mailing address
4032 N ASHLAND AVE, CHICAGO, IL 60613-2503
(708) 308-5787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180010042
IL
Other
Enumeration date
04/04/2016
Last updated
02/25/2025
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