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Individual

DANIELLE ELIZABETH JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, ATR

Contact information

Practice address
3146 W IRVING PARK RD, CHICAGO, IL 60618
(312) 248-3653
Mailing address
3739 N RIDGEWAY AVE, CHICAGO, IL 60618-4011

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.014352
IL
221700000X
Art Therapist

Other

Enumeration date
04/15/2022
Last updated
07/02/2024
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