Individual
MRS. GEANA MARIE MELLENTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5257 N LAMON AVE, CHICAGO, IL 60630-1605
(773) 316-5384
Mailing address
5257 N LAMON AVE, CHICAGO, IL 60630-1605
(773) 316-5384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.004712
IL
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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