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Individual

MS. BIANCA CERVANTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
Mailing address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180013896
IL

Other

Enumeration date
10/13/2021
Last updated
10/13/2021
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