Individual
AQUANETTA KRISTINE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2023 RIDGE RD UNIT 2NW, HOMEWOOD, IL 60430-1786
(708) 580-6042
Mailing address
3950 N LAKE SHORE DR APT 826E, CHICAGO, IL 60613-3434
(219) 718-0157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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