Individual
BROOKE NAOMI BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5215 N RAVENSWOOD AVE STE 208, CHICAGO, IL 60640-1670
(219) 309-6203
Mailing address
846 W AINSLIE ST APT RC, CHICAGO, IL 60640-7369
(219) 309-6203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.014180
IL
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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