Individual
MISS CONSTANCE V ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 S HALSTED ST, CHICAGO, IL 60621-2229
(847) 276-3074
Mailing address
3711 S VINCENNES AVE UNIT 514, CHICAGO, IL 60653-1667
(773) 484-5578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.016680
IL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/29/2019
Last updated
08/18/2021
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