Individual provider · Type 1 NPI

Jacqueline Anthony

Mental Health Counselor · Chicago Ridge, IL

NPI number 1396337267 Active

Practice location

5810 107th Court Way Apt 12
Chicago Ridge, IL 60415-1944

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1396337267

Jacqueline Anthony's National Provider Identifier is 1396337267, issued on Feb 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago Ridge, IL. The record was last updated on Mar 4, 2024.