Individual
CONNOR C. SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1147 W OHIO ST STE 103, CHICAGO, IL 60642-5874
(312) 772-9796
Mailing address
1147 W OHIO ST STE 103, CHICAGO, IL 60642-5874
(312) 772-9796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
06/18/2024
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