Individual
MS. JODI L MACALUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCPC CADC
Contact information
Practice address
125 E LAKE ST, SUITE 106, BLOOMINGDALE, IL 60108-1179
(847) 812-3833
Mailing address
125 E LAKE ST, SUITE 106, BLOOMINGDALE, IL 60108-1179
(847) 812-3833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21085
IL
101YP2500X
Professional Counselor
Primary
180-004470
IL
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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