Individual
EBONY WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3031 N NATCHEZ AVE, CHICAGO, IL 60634-4955
(317) 590-7861
Mailing address
3031 N NATCHEZ AVE, CHICAGO, IL 60634-4955
(317) 590-7861
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009979
IL
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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