Individual
CASSANDRA FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S SCHUYLER AVE, KANKAKEE, IL 60901-5133
(779) 301-0165
Mailing address
365 S EVERGREEN AVE, KANKAKEE, IL 60901-4229
(779) 301-0165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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