Individual
JACQUELINE RITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
310 W CHICAGO AVE, CHICAGO, IL 60654-5106
(312) 943-6545
(708) 362-6217
Mailing address
310 W CHICAGO AVE, CHICAGO, IL 60654-5106
(312) 943-6545
(708) 362-6217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178012485
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
178012485
IL
101YM0800X
Mental Health Counselor
178012485
IL
101YP2500X
Professional Counselor
178012485
IL
101YP2500X
Professional Counselor
Primary
180012578
IL
Other
Enumeration date
09/10/2017
Last updated
12/03/2021
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