Individual
JAIME CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
13136 WESTERN AVE, BLUE ISLAND, IL 60406-2423
(708) 974-5822
Mailing address
13136 WESTERN AVE, BLUE ISLAND, IL 60406-2423
(708) 974-5822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010095
IL
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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