Organization · Type 2 NPI
Jiselle Roman LCPC PLLC
Professional Counselor · Chicago Ridge, IL
NPI number
1649917345
Active
Practice location
10720 Princess Ave
Chicago Ridge, IL 60415-2139
Fax (708) 575-6527
Mailing address
9631 S Cicero Ave # 1459
Oak Lawn, IL 60453-3137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Chicago Ridge
About NPI 1649917345
Jiselle Roman LCPC PLLC's National Provider Identifier is 1649917345, issued on May 16, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago Ridge, IL. The record was last updated on Nov 4, 2023.