Individual provider · Type 1 NPI

Jessica Alicia Rodriguez, MED

Professional Counselor · Oak Park, IL

NPI number 1285387456 Active

Practice location

715 Lake St Ste 806
Oak Park, IL 60301-1417

Call (773) 312-3612 Map

Mailing address

3145 N Newcastle Ave
Chicago, IL 60634-4624

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X103TC0700X (IL)
Professional Counselor Primary 101YP2500X178018894 (IL)

Professional Counselor: Definition to come...

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About NPI 1285387456

Jessica Alicia Rodriguez, MED's National Provider Identifier is 1285387456, issued on Jan 28, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oak Park, IL. The record was last updated on Apr 20, 2023.