Individual
MS. CHANDRA LATRICE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
4248 W 77TH ST APT 301, CHICAGO, IL 60652-1378
(312) 520-1335
(773) 884-0490
Mailing address
4248 W 77TH ST APT 301, CHICAGO, IL 60652-1378
(312) 520-1335
(773) 884-0490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180007187
IL
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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