Individual
BLAIRE PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 LAKE ST STE 500, OAK PARK, IL 60301-1135
(773) 665-8052
(708) 384-7501
Mailing address
2620 N DAYTON ST APT 3F, CHICAGO, IL 60614-7098
(502) 415-3520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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