Individual
ERICA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 W MADISON ST STE 302, CHICAGO, IL 60607-2191
(773) 420-7113
Mailing address
2140 N WINCHESTER AVE APT 7, CHICAGO, IL 60614-3905
(773) 420-7113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178015570
IL
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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