Search › Illinois › 1041C0700X
Jackeline Mitchell, LCSW
NPI 1649944679 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4815 W Barry Ave
Chicago, IL 60641 - Phone
- (773) 990-0939
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois