Individual
CHANEL CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
640 E 89TH PL, CHICAGO, IL 60619-6834
(773) 759-9650
Mailing address
640 E 89TH PL, CHICAGO, IL 60619-6834
(773) 759-9650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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