Individual
ESTRALITA JONES-ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(312) 633-4987
Mailing address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27276
IN
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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