Individual
JACQUELINE CHAIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC ATR
Contact information
Practice address
1131 WHEATON OAKS CT, WHEATON, IL 60187-3181
(630) 940-6828
Mailing address
1131 WHEATON OAKS CT, WHEATON, IL 60187-3181
(630) 940-6828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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