Individual
EMILY REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3336 N AVERS AVE # 2, CHICAGO, IL 60618-5204
(773) 809-3396
Mailing address
3336 N AVERS AVE # 2, CHICAGO, IL 60618-5204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011148
IL
Other
Enumeration date
11/19/2017
Last updated
03/17/2018
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