Individual
JAMES HISTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 W BELMONT AVE APT 4, CHICAGO, IL 60618-7291
(708) 289-9168
Mailing address
2302 W BELMONT AVE APT 4, CHICAGO, IL 60618-7291
(708) 289-9168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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