Individual
VANESSA ELIZABETH DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D, QMHP, CADC
Contact information
Practice address
7601 S KOSTNER AVE STE 202, CHICAGO, IL 60652-1126
(773) 412-0410
Mailing address
7601 S KOSTNER AVE STE 202, CHICAGO, IL 60652-1126
(773) 412-0410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33548
IL
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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