Jean Juarez, LMFT
Marriage & Family Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1932829199
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1932829199
- Entity type
- Individual (NPI-1)
- Name
- Jean Juarez
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2022
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.000647 | IL | Yes |
Practice location
4835 N Leavitt St Apt 3Chicago, IL 60625-6921
Phone 310-383-2505
Mailing address
4835 N Leavitt St Apt 3Chicago, IL 60625-6921
Phone 310-383-2505
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