Individual
JAMES PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10735 S CICERO AVE, SUITE 208, OAK LAWN, IL 60453-5400
(708) 424-0001
Mailing address
4608 W. 99TH ST., OAK LAWN, IL 60453
(773) 573-3206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180011498
IL
101YP2500X
Professional Counselor
178.011975
IL
Other
Enumeration date
06/11/2016
Last updated
01/23/2020
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