Individual
JACQ L BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
ALMFT
Contact information
Practice address
1555 NAPERVILLE WHEATON RD STE 205, NAPERVILLE, IL 60563-1558
(630) 206-4060
Mailing address
310 S 10TH ST UNIT B, DEKALB, IL 60115-4882
(206) 550-9082
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.001178
IL
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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