Individual
JACQUELINE HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1041 N WESTERN AVE, CHICAGO, IL 60622-3571
(312) 248-4940
Mailing address
1042 N WESTERN AVE, CHICAGO, IL 60622
(312) 248-4940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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