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Individual

CHARLES JONATHAN BLIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2650 W MONTROSE AVE STE 102, CHICAGO, IL 60618-1562
(773) 377-5261
(872) 813-4596
Mailing address
2650 W MONTROSE AVE STE 102, CHICAGO, IL 60618-1562
(773) 377-5261
(872) 813-4596

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178021015
IL

Other

Enumeration date
12/16/2024
Last updated
06/13/2026
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