Individual
AIN O ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 N SHEFFIELD AVE, CHICAGO, IL 60657-5081
(262) 358-6499
Mailing address
9420 S CHARLES ST, CHICAGO, IL 60643-5824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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