Individual
DARYL HOLMES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
107 W 141ST ST, RIVERDALE, IL 60827-2220
(708) 655-7035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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