Individual
EWELINA K BEARDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.C.P.C.
Contact information
Practice address
1700 W IRVING PARK RD STE 301, CHICAGO, IL 60613-2462
(312) 560-0407
Mailing address
1700 W IRVING PARK RD STE 301, CHICAGO, IL 60613-2462
(312) 560-0407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180009676
IL
101YP2500X
Professional Counselor
Primary
180009676
IL
Other
Enumeration date
11/15/2012
Last updated
08/18/2020
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