Organization
NICOLLE OSEQUEDA COUNSELING PLLC
Active
Organization
NICOLLE OSEQUEDA COUNSELING PLLC
Active
Parent organization
NICOLLE OSEQUEDA COUNSELING LLC
Other names
Lincoln Park Therapy Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICOLLE OSEQUEDA COUNSELING LLC
Authorized official
JASON MARTIN OSEQUEDA PHD (MANAGING DIRECTOR)
(312) 937-5281
Entity
Organization
Contact information
Practice address
2755 N PINE GROVE AVE, CHICAGO, IL 60614-6109
(312) 860-2858
Mailing address
828 W WAVELAND AVE APT 1N, CHICAGO, IL 60613-6151
(312) 937-5281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/04/2025
Last updated
07/06/2026
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