Individual
ANISA BRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP
Contact information
Practice address
56 E 47TH ST STE 400C, CHICAGO, IL 60653-3875
(312) 577-7258
Mailing address
56 E 47TH ST, CHICAGO, IL 60653-3818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
09/27/2023
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