Individual
MISS CIARA JOY ATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, ATR
Contact information
Practice address
63 DEBORAH DR, LEMONT, IL 60439-7402
(630) 418-9239
Mailing address
63 DEBORAH DR, LEMONT, IL 60439-7402
(630) 418-9239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.016868
IL
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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