Individual provider · Type 1 NPI

Jesus Quijada

Mental Health Counselor · Zion, IL

NPI number 1104163351 Active

Practice location

2105 Hebron Ave
Zion, IL 60099-2260

Call (847) 746-0701 Map

Mailing address

3010 Grand Ave
Waukegan, IL 60085-2321

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104163351

Jesus Quijada's National Provider Identifier is 1104163351, issued on Jan 8, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Zion, IL. The record was last updated on Jan 8, 2013.