Individual
JIM JOSEPH MANZARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1263 W LOYOLA AVE, CHICAGO, IL 60626-6537
(773) 274-4600
Mailing address
1323 W COLUMBIA AVE APT 2W, CHICAGO, IL 60626-4367
(773) 274-4600
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
178.022096
IL
101YP2500X
Professional Counselor
Primary
178.022096
IL
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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