Individual provider · Type 1 NPI
India Blakely, LCPC
Mental Health Counselor · East Hazel Crest, IL
NPI number
1710594445
Active
Practice location
17337 Wooded Path Dr Apt 3S
East Hazel Crest, IL 60429-2619
Mailing address
18300 S. Halsted, Suite B Mailbox 107
Glenwood, IL 60425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180007413 (IL) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in East Hazel Crest
About NPI 1710594445
India Blakely, LCPC's National Provider Identifier is 1710594445, issued on Sep 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Hazel Crest, IL. The record was last updated on Sep 27, 2020.