Individual
EMILY HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3963 W BELMONT AVE, UNIT 512, CHICAGO, IL 60618-5149
(310) 486-9226
Mailing address
3963 W BELMONT AVE, UNIT 512, CHICAGO, IL 60618-5149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29900
IL
1041C0700X
Clinical Social Worker
Primary
149017392
IL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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