Individual
DR. JACQUELINE ROCHELLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1139 LEAVITT AVE, UNIT 210, FLOSSMOOR, IL 60422-1550
(708) 957-9420
(708) 365-6392
Mailing address
3612 LINCOLN HWY, SUITE 6, OLYMPIA FIELDS, IL 60461-1627
(708) 957-9420
(708) 365-6392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178008975
IL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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