IndividualActive
Jerome Nerio Missay Soku
NPI 1689368789 · Pastoral Counselor · Chicago, IL
Provider details
- NPI number
- 1689368789
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
126 E Chestnut St Fl 3
Chicago, IL 60611-2014
Phone: (312) 787-8425
Approximate (ZIP-level) locationGet directions
Mailing address
1615 E 31st St
La Grange Park, IL 60526-1319
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2023-06-05
- Certified
- 2023-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.