Carmody, Jacqueline
Carmody, Jacqueline is an individual health care provider with primary practice located at 6852 W Evergreen Ave , Palos Heights IL 60463-2124. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Carmody, Jacqueline can be contacted via phone (708) 308-5787.Contact Information
Primary practice address
6852 W Evergreen Ave
Palos Heights IL 60463-2124
Phone: (708) 308-5787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180010042 | Illinois |
Profile Details
| NPI number | 1265895577 |
|---|---|
| LBN Legal business name | Carmody, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2016 |
| Last updated | Apr 4th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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