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Individual

MONICA CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CADC

Contact information

Practice address
800 N LAKE SHORE DR STE 800, CHICAGO, IL 60611-2402
(312) 481-6811
Mailing address
800 N LAKE SHORE DR STE 800, CHICAGO, IL 60611-2402
(312) 481-6811

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33773
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33773
CERTIFIED ALCOHOL AND DRUG ABUSE COUNSELOR
IL
Enumeration date
03/27/2019
Last updated
03/27/2019
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