Individual
CORTNEY HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2801 N SHEFFIELD AVE FL 2, CHICAGO, IL 60657-5003
(312) 775-2294
Mailing address
750 BROADWAY AVE E, MATTOON, IL 61938-4610
(217) 238-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
178.014729
IL
101YP2500X
Professional Counselor
Primary
180.013687
IL
Other
Enumeration date
03/29/2018
Last updated
03/30/2024
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