Individual
GRACIE A BATES-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
333 S WABASH AVE STE 2700, CHICAGO, IL 60604-4129
(312) 809-6984
Mailing address
333 S WABASH AVE STE 2700, CHICAGO, IL 60604-4129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180009958
IL
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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