Individual
CAROLYN NEVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 W MONROE ST, CHICAGO, IL 60612-3837
(312) 248-4091
(833) 681-0794
Mailing address
3111 W MONROE ST, CHICAGO, IL 60612-3837
(419) 680-0989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
166.001379
IL
101YM0800X
Mental Health Counselor
166.001379
IL
106H00000X
Marriage & Family Therapist
Primary
166.001379
IL
Other
Enumeration date
05/22/2017
Last updated
01/03/2024
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