JAX ANTHONY MOSQUERA

EVANSTON, IL
NPI1164300976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-08-21
Last Update Date2025-08-21
Business Address
JAX ANTHONY MOSQUERA
1740 RIDGE AVE
EVANSTON, IL 60201-5918
Phone number: 847-558-7327
Mailing Address
JAX ANTHONY MOSQUERA
5452 N ASHLAND AVE # 2
CHICAGO, IL 60640-1101
Phone number: 773-332-8891
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