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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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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