Individual
PROF. CHANEL SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17941 WENTWORTH AVE, LANSING, IL 60438-3938
(708) 501-7442
Mailing address
17941 WENTWORTH AVE, LANSING, IL 60438-3938
(708) 501-7442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178016099
IL
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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