Individual
DANICA JENICE CORANEZ MALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10188 W TALMADGE AVE, BEACH PARK, IL 60099-3867
(847) 707-3383
Mailing address
10188 W TALMADGE AVE, BEACH PARK, IL 60099-3867
(847) 707-3383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
178.016743
IL
Other
Enumeration date
01/24/2017
Last updated
03/25/2022
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