Individual
CHARMAINE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, M.S.
Contact information
Practice address
11924 LONGWOOD DR, BLUE ISLAND, IL 60406-1224
(773) 807-1662
Mailing address
11924 LONGWOOD DR, BLUE ISLAND, IL 60406-1224
(773) 807-1662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/28/2015
Last updated
09/06/2022
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