Search › Illinois › 1041C0700X
Kristianna Jacques, LCSW
NPI 1790297794 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6614 N Ashland Ave
Chicago, IL 60626 - Phone
- (207) 776-1703
- Fax
- (207) 776-1703
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
- 2017-10-30
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