ESTRALITA JONES-ROACH CADC NPI 1821560152

NPI Information

NPI: 1821560152
Provider Name: ESTRALITA JONES-ROACH, CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
140 N ASHLAND AVE
CHICAGO, IL
ZIP 60607
Phone: (312) 633-4987
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Estralita Jones-roach, CADC is an addiction (substance use disorder) counselor in Chicago, IL. Estralita Jones-roach, CADC NPI is 1821560152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 N ASHLAND AVE
CHICAGO, IL
ZIP 60607-802
Phone: (312) 633-4987

The enumeration date for this NPI number is 12/27/2018 and was last updated on 12/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	27276	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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