person
Dr. Colette Blakely, LCPC
Mental Health Counselor in Chicago, Illinois
NPI 1871672337

Colette Blakely is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Colette Blakely practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Colette Blakely is 1871672337 and holds a License No. 178003235 (Illinois).

The current practice location address for Colette Blakely is 4521 N Mozart St, Chicago, IL and can be reached out via phone at 312-203-2158 and via fax at 312-203-2158.

Location: 4521 N Mozart St, Chicago, IL, 60625-3816
person
Provider Profile Details
NPI Number
1871672337
Provider Name
Colette Blakely
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
4521 N Mozart St, Chicago, IL, 60625-3816
Phone Number
312-203-2158
Fax Number
312-203-2158
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4521 N Mozart St
City
State
Zip
60625-3816
Phone Number
312-203-2158
Fax Number
312-203-2158
person
Provider Business Mailing Address Details
Address
4521 N Mozart St
City
State
Zip
60625-3816
Phone Number
312-203-2158
Fax Number
312-203-2158
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180009264 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178003235 (Illinois)
Definition
Definition to come...
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