Individual
DR. CARLA LATRISE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LCPC, BCPCC
Contact information
Practice address
19630 GOVERNORS HWY STE 8, FLOSSMOOR, IL 60422-2079
(708) 481-4257
(708) 481-4254
Mailing address
19624 GOVERNORS HWY, FLOSSMOOR, IL 60422-2077
(708) 481-4257
(708) 481-4254
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
101YM0800X
Mental Health Counselor
—
IL
101YP2500X
Professional Counselor
178.004505
IL
101YP2500X
Professional Counselor
Primary
180.007522
IL
101YS0200X
School Counselor
2246885
IL
Other
Enumeration date
06/17/2009
Last updated
02/20/2018
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