Individual
MS. FREDERICA MELANIE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAAT, ATR, LCPC
Contact information
Practice address
2310 W ROOSEVELT RD, SUITE 201, CHICAGO, IL 60608-1131
(312) 382-2504
(312) 236-5384
Mailing address
2310 W ROOSEVELT RD, SUITE 201, CHICAGO, IL 60608-1131
(312) 382-2504
(312) 236-5384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006716
IL
Other
Enumeration date
03/14/2014
Last updated
08/19/2015
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