Individual
JAIMEE JAUCIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 338-3806
(708) 681-1289
Mailing address
2736 W CORTLAND ST APT 1R, CHICAGO, IL 60647-6625
(312) 715-4396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.008605
IL
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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