Individual
KAREN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 W 103RD ST, CHICAGO, IL 60643-2821
(224) 406-3798
(773) 723-5091
Mailing address
7831 S SEELEY AVE, CHICAGO, IL 60620-5759
(224) 406-3798
(773) 723-5091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YM0800X
Mental Health Counselor
—
IL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
IL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
IL
103TB0200X
Cognitive & Behavioral Psychologist
—
IL
Other
Enumeration date
10/04/2016
Last updated
08/17/2020
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