Individual
MRS. ELLEN CARROLL SINGLETARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
235 E 103RD ST, CHICAGO, IL 60628-2807
(773) 520-7027
(773) 371-3699
Mailing address
235 E 103RD ST, CHICAGO, IL 60628-2807
(773) 520-7027
(773) 371-3699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178002561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178002561
—
IL
Enumeration date
06/13/2019
Last updated
06/13/2019
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