Individual
GRACE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LCPC
Contact information
Practice address
659 W RANDOLPH ST APT 1808, CHICAGO, IL 60661-2252
(615) 945-5882
Mailing address
659 W RANDOLPH ST APT 1808, CHICAGO, IL 60661-2252
(615) 945-5882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180013594
IL
Other
Enumeration date
01/01/2019
Last updated
03/08/2025
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