Individual
ANISSA NANNETTE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 W BARRY AVE APT 505, CHICAGO, IL 60657-5503
(956) 319-2674
Mailing address
421 W BARRY AVE APT 505, CHICAGO, IL 60657-5503
(956) 319-2674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178017677
IL
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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