Organization · Type 2 NPI
Jaclyn Ross PHD PLLC
Adult Mental Health Clinic/Center · Chicago, IL
NPI number
1881455012
Active
Practice location
53 W Jackson Blvd Ste 336
Chicago, IL 60604-3688
Mailing address
2333 W Saint Paul Ave Apt 133
Chicago, IL 60647-5343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1881455012
Jaclyn Ross PHD PLLC's National Provider Identifier is 1881455012, issued on Jan 16, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Chicago, IL. The record was last updated on Jan 16, 2024.