Individual
JESUS EDGAR SUAREZ RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2319 S DAMEN AVE, CHICAGO, IL 60608-4209
(773) 579-0832
Mailing address
2319 S DAMEN AVE, CHICAGO, IL 60608-4209
(773) 579-0832
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178015113
IL
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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