Jacqueline Anthony

NPI #1396337267 in Chicago Ridge, Illinois

Provider Information

NPI Number: 1396337267
Entity Type: Individual
Name: Jacqueline Anthony
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 10, 2021
Last Updated: Mar 4, 2024

Practice Location

Address: 5810 107TH COURT WAY APT 12
City: Chicago Ridge
State: Illinois
ZIP Code: 60415-1944
Phone: (708) 973-9149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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