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Organization
L.E.A.D.O.F.F. COUNSELING AND CONSULTING, LLC
Active
Organization
L.E.A.D.O.F.F. COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEL A. GRAY LCPC (OWNER)
(708) 529-9544
Entity
Organization
Contact information
Practice address
10540 S WESTERN AVE STE 103, CHICAGO, IL 60643-2541
(312) 569-0614
Mailing address
10540 S WESTERN AVE STE 103, CHICAGO, IL 60643-2541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
05/30/2020
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