Individual
CONSTANCE ERVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 N GRESHAM AVE, CHICAGO, IL 60618-6706
(815) 258-1363
Mailing address
2925 N GRESHAM AVE, CHICAGO, IL 60618-6706
(815) 258-1363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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