Individual provider · Type 1 NPI

Jaclyn S. Story, LCSW

Mental Health Counselor · Chicago, IL

NPI number 1558070623 Active

Practice location

814 W Sunnyside Ave Apt Gb
Chicago, IL 60640-6131

Call (773) 369-0608 Map

Mailing address

30 N Michigan Ave Ste 1126
Chicago, IL 60602-3737

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X149.023798 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1558070623

Jaclyn S. Story, LCSW's National Provider Identifier is 1558070623, issued on Nov 17, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Dec 19, 2022.