Individual provider · Type 1 NPI

Jose Irne Rebolledo

Mental Health Counselor · Chicago, IL

NPI number 1356848600 Active

Practice location

5730 W Roosevelt Rd
Chicago, IL 60644-1580

Call (773) 413-1700 Map

Mailing address

1242 Maple Ave
Berwyn, IL 60402-1055

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356848600

Jose Irne Rebolledo's National Provider Identifier is 1356848600, issued on Apr 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Apr 11, 2018.