Individual
HOYAM TANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
4817 W 83RD ST, BURBANK, IL 60459-2790
(773) 673-3702
Mailing address
2321 W. FAREWELL CHICAGO IL, CHICAGO, IL 60645
(773) 673-3702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0000
IL
101YP2500X
Professional Counselor
Primary
178.013329
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NONE
IL
Enumeration date
02/21/2017
Last updated
11/14/2017
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