Individual
EDDY BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5341 W CERMAK RD, CICERO, IL 60804-2892
(708) 656-6430
Mailing address
4655 S LAKE PARK AVE APT 227, CHICAGO, IL 60653-4534
(312) 375-6990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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