Individual
LUISA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N OAK PARK AVE FL 2, OAK PARK, IL 60301-1364
(773) 423-8447
Mailing address
105 N OAK PARK AVE FL 2, OAK PARK, IL 60301-1364
(773) 423-8447
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
09/09/2024
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