Organization · Type 2 NPI

Jacques Gourguechon, LPC

Community/Behavioral Health Agency · Chicago, IL

NPI number 1730567207 Active

Practice location

1454 W Farragut Ave
Chicago, IL 60640-2104

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	178.010830 (IL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

3 other providers at this address

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About NPI 1730567207

Jacques Gourguechon, LPC's National Provider Identifier is 1730567207, issued on May 15, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Chicago, IL. The record was last updated on May 15, 2015.