Individual
NITA MARCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
Mailing address
5128 W HENDERSON ST, CHICAGO, IL 60641-4242
(773) 793-9128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25812
IL
101YM0800X
Mental Health Counselor
31898
IL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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