Individual
BAISHA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3826 W LEXINGTON ST, CHICAGO, IL 60624-3646
(224) 258-5224
Mailing address
3826 W LEXINGTON ST, CHICAGO, IL 60624-3646
(224) 258-5224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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