Individual
BIANCA OWOLABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 BELVIDERE RD, WAUKEGAN, IL 60085-6165
(224) 343-5225
Mailing address
2410 BELVIDERE RD, WAUKEGAN, IL 60085-6165
(312) 772-7846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
101YP2500X
Professional Counselor
—
IL
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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