Individual provider · Type 1 NPI
Carmen Tate
Professional Counselor · Hazel Crest, IL
NPI number
1972111334
Active
Practice location
2803 Larkspur Ln
Hazel Crest, IL 60429-2145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 150102674 |
| Case Manager/Care Coordinator | 171M00000X | 42113793 |
| Rehabilitation Counselor | 225C00000X | 110546 |
| Professional Counselor Primary | 101YP2500X | 180009380 |
Professional Counselor: Definition to come...
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About NPI 1972111334
Carmen Tate's National Provider Identifier is 1972111334, issued on Jul 21, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hazel Crest, IL. The record was last updated on Jul 21, 2020.