Individual
DENISHA MADDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7601 S KOSTNER AVE, CHICAGO, IL 60652-1126
(708) 907-1491
Mailing address
7601 S KOSTNER AVE, CHICAGO, IL 60652-1126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178016884
IL
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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