Individual
MS. CHANTAL PICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 769-0205
(773) 765-0801
Mailing address
2151 EMILY DR, BOLINGBROOK, IL 60490-4927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011900
IL
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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