Individual
MS. HANNAH GRACE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC, BC-DMT
Contact information
Practice address
622 DAVIS ST STE 200, EVANSTON, IL 60201-4491
(773) 294-0176
Mailing address
622 DAVIS ST STE 200, EVANSTON, IL 60201-4491
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178012175
IL
101YP2500X
Professional Counselor
Primary
180.0011575
IL
Other
Enumeration date
02/10/2017
Last updated
01/19/2022
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