Individual
EMELISSA MEJIA AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 N HALSTED ST STE 105, CHICAGO, IL 60642-7886
(312) 298-9224
Mailing address
2218 S LARAMIE AVE APT 4, CICERO, IL 60804-2818
(979) 253-1895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.020064
IL
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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