Individual
MS. CHANESE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-3707
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
09/26/2021
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