Individual provider · Type 1 NPI

Lissette Jimenez, LSW

Mental Health Counselor · Chicago, IL

NPI number 1881985091 Active

Practice location

4822 N Broadway St, 2nd Floor
Chicago, IL 60640-3604

Call (773) 429-9287 Map

Mailing address

1117 N Dearborn St, Apt 416
Chicago, IL 60610-2701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1881985091

Lissette Jimenez, LSW's National Provider Identifier is 1881985091, issued on Apr 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Apr 21, 2011.