Individual
GRACE ELLEN SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-P
Contact information
Practice address
2804 W BELMONT AVE STE 103, CHICAGO, IL 60618-5879
(224) 504-9854
Mailing address
1133 SOUTH BLVD APT 715, OAK PARK, IL 60302-3285
(660) 988-0973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.017110
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205286440
BUSINESS NPI NUMBER
IL
Enumeration date
02/02/2022
Last updated
02/02/2022
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