specializing in counselor in Chicago, Idaho
NPI: 1740744861
Provider Type
2
Practice Locations
Mailing Location
1540 N LASALLE DR
UNIT 1106
CHICAGO, ID 60610
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:1/23/2019
Last Updated:1/23/2019
Credentials
Primary Credential: