Individual provider · Type 1 NPI

Jacqueline Taub, LSW

Mental Health Counselor · Chicago, IL

NPI number 1225415623 Active

Practice location

3139 N Lincoln Ave, #209
Chicago, IL 60657-3114

Call (312) 519-3187 Map

Mailing address

2110 N Clark St, Unit 2
Chicago, IL 60614-4614

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X150.015611 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1225415623

Jacqueline Taub, LSW's National Provider Identifier is 1225415623, issued on May 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on May 5, 2015.