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Individual

ETHAN J YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
53 W JACKSON BLVD STE 510, CHICAGO, IL 60604-3434
(312) 324-4711
Mailing address
2737 S KOSTNER AVE APT 1, CHICAGO, IL 60623-4219
(414) 882-9449

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016597
IL

Other

Enumeration date
05/26/2021
Last updated
05/26/2021
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