person
India Blakely, LCPC
Mental Health Counselor in East Hazel Crest, Illinois
NPI 1710594445

India Blakely is a Mental Health Counselor based in Glenwood, IL and is specialized in Mental Health. India Blakely practices in East Hazel Crest, IL and has the professional credentials of LCPC. The NPI Number for India Blakely is 1710594445 and holds a License No. 180007413 (Illinois).

The current practice location address for India Blakely is 17337 Wooded Path Dr Apt 3S, East Hazel Crest, IL and can be reached out via phone at 708-805-9380.

Location: 17337 Wooded Path Dr Apt 3S, East Hazel Crest, IL, 60425
person
Provider Profile Details
NPI Number
1710594445
Provider Name
India Blakely
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
17337 Wooded Path Dr Apt 3S, East Hazel Crest, IL, 60425
Phone Number
708-805-9380
Fax Number
Provider Enumeration Date
09/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17337 Wooded Path Dr Apt 3S
City
State
Zip
60429-2619
Phone Number
708-805-9380
Fax Number
person
Provider Business Mailing Address Details
Address
17337 Wooded Path Dr Apt 3S
City
State
Zip
60429-2619
Phone Number
708-805-9380
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180007413 (Illinois)
Definition
Definition to come...
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