Waxman, Jessica Rachel
Waxman, Jessica Rachel is an sole proprietor health care provider with primary practice located at 708 Church St Suite 221, Evanston IL 60201-3875. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Waxman, Jessica Rachel can be contacted via phone (312) 371-1448.Contact Information
Primary practice address
708 Church St Suite 221
Evanston IL 60201-3875
Phone: (312) 371-1448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | Illinois |
Profile Details
| NPI number | 1124179700 |
|---|---|
| LBN Legal business name | Waxman, Jessica Rachel |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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