Individual
MRS. JACQUELINE ELLEN BIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
408 BRAEMAR AVE, NAPERVILLE, IL 60563-1301
(630) 961-2053
Mailing address
408 BRAEMAR AVE, NAPERVILLE, IL 60563-1301
(630) 961-2053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.008669
IL
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
03/30/2018
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