Individual
JEAN JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4835 N LEAVITT ST APT 3, CHICAGO, IL 60625-6921
(310) 383-2505
Mailing address
4835 N LEAVITT ST APT 3, CHICAGO, IL 60625-6921
(310) 383-2505
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000647
IL
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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