Reynolds, Jalissa

Reynolds, Jalissa is an sole proprietor health care provider with primary practice located at 9631 S Cicero Ave # 1073 , Oak Lawn IL 60453-3137. 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. Reynolds, Jalissa can be contacted via phone (708) 637-6760.

Contact Information

Primary practice address
9631 S Cicero Ave # 1073 Oak Lawn IL 60453-3137
Phone: (708) 637-6760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180014119 Illinois

Profile Details

NPI number 1417254004
LBN Legal business name Reynolds, Jalissa
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2011
Last updated May 7th, 2024 - about 2 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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