Individual
MR. CALEX M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3317 W 95TH ST, SUITE LL2, EVERGREEN PARK, IL 60805-2243
(170) 838-6078
Mailing address
PO BOX 42798, EVERGREEN PARK, IL 60805-0798
(773) 599-3406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IL
101YM0800X
Mental Health Counselor
Primary
—
IL
251S00000X
Community/Behavioral Health Agency
180008585
IL
Other
Enumeration date
09/07/2009
Last updated
11/06/2014
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