Individual
KELSHA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 W MARQUETTE RD, CHICAGO, IL 60629-1817
(773) 808-2953
(312) 655-0678
Mailing address
2601 W MARQUETTE RD, CHICAGO, IL 60629-1817
(773) 808-2953
(312) 655-0678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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