Individual
CATHERINA D MALONE-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
1525 E 53RD ST, CHICAGO, IL 60615-4557
(312) 966-9545
Mailing address
112 CHICAGO AVE, OAK PARK, IL 60302-5321
(708) 623-4946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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