Individual
CELIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S MARION ST, OAK PARK, IL 60302-2809
(708) 383-7500
Mailing address
120 S MARION ST, OAK PARK, IL 60302-2809
(708) 383-7500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15198122
CAQH
—
Enumeration date
07/22/2021
Last updated
09/04/2025
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