Individual
CONSTANCE TILLMAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10046 S WESTERN AVE, CHICAGO, IL 60643-1926
(773) 429-9355
Mailing address
1802 LEMAR AVE, EVANSTON, IL 60201-3331
(847) 293-5683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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