Individual
MR. CODY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
5825 W BELMONT AVE, CHICAGO, IL 60634-5203
(773) 637-0487
(773) 637-1740
Mailing address
5825 W BELMONT AVE, CHICAGO, IL 60634-5203
(773) 637-0487
(773) 637-1740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178008867
IL
101YP2500X
Professional Counselor
Primary
180010129
IL
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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