Jiselle Roman Lcpc Pllc
NPI #1649917345 in Chicago Ridge, Illinois
Provider Information
- NPI Number
- 1649917345
- Entity Type
- Organization
- Organization Name
- Jiselle Roman Lcpc Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 16, 2022
- Last Updated
- Nov 4, 2023
Practice Location
- Address
- 10720 PRINCESS AVE
- City
- Chicago Ridge
- State
- Illinois
- ZIP Code
- 60415-2139
- Phone
- (773) 627-7914
Authorized Official
- Name
- JISELLE ROMAN, LCPC
- Title
- LICENSED CLINICAL PROFESSIONAL COUN
- Phone
- (773) 627-7914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Counselor - Professional — Professional |
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