Organization
JACKIE THE SOCIAL WORKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKELINE ELIZABETH MITCHELL LCSW (OWNER/THERAPIST)
(773) 217-8662
Entity
Organization
Contact information
Practice address
4422 N RAVENSWOOD AVE # 1016, CHICAGO, IL 60640-5803
(773) 217-8662
(888) 690-5661
Mailing address
4422 N RAVENSWOOD AVE # 1016, CHICAGO, IL 60640-5803
(773) 217-8662
(888) 690-5661
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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