Individual
ETHAN CANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1925 N CLYBOURN AVE STE 300, CHICAGO, IL 60614-7395
(773) 697-8839
Mailing address
1960 N LINCOLN PARK W APT 2011, CHICAGO, IL 60614-5445
(847) 987-0712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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