Individual
HESHIMA MANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4449 S LAKE PARK AVE UNIT 2S, CHICAGO, IL 60653-4189
(312) 525-1031
Mailing address
PO BOX 20, LANSING, IL 60438-0020
(312) 525-1031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180015103
IL
Other
Enumeration date
11/02/2022
Last updated
05/15/2023
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