Organization
CHICAGO WELLNESS CENTER FOR FAMILIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE RAE SALAZAR PSY.D. (OWNER/THERAPIST)
(312) 241-8248
Entity
Organization
Contact information
Practice address
1017 W CULLERTON ST, CHICAGO, IL 60608-3318
(312) 241-2248
Mailing address
1440 W TAYLOR ST, CHICAGO, IL 60607-4623
(312) 241-8248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
07/18/2022
Last updated
06/04/2024
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