Individual
MS. DELORES D HIGHLEY-LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, BA
Contact information
Practice address
7303 S MARYLAND AVE, CHICAGO, IL 60619-1919
(872) 818-6038
Mailing address
7303 S MARYLANDN AVE, CHICAGO, IL 60619-1919
(872) 818-6038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28128
IL
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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