Colette Blakely LCPC

NPI 1871672337 - Counselor - 101YP2500X

NPI Details
NPI 1871672337
Gender Female
Enumeration Date 11/03/2006
Last Updated 07/17/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
4521 N MOZART ST
CHICAGO IL, 60625-3816, US
Phone (312) 203-2158
Fax (312) 203-2158
Business Location
4521 N MOZART ST
CHICAGO IL, 60625-3816, US
Phone (312) 203-2158
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 178003235
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According to our database, Dr. Colette Blakely LCPC NPI is 1871672337, taxonomy code is 101YP2500X and license number is 178003235, license state is located at Illinois. Colette Blakely LCPC physically located at 4521 N Mozart St, Chicago IL, 60625-3816. NPI Number Colette Blakely LCPC has the Individual type.

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1871672337 NPI number is provided on an as is basis without warranty of any kind. 1871672337 is maintained by the National Plan & Provider Enumeration System. The contents of Colette Blakely LCPC are for informational purposes only.